Strategic Management

University_of_Texas_Arlington_-_MANA_4322_COMP_XM_SIMULATION_TIPS.doc-COMP XM SIMULATION TIPS R&D 

Pathophysiologic Proc Implications for Nursing

3 7. Without even having further knowledge of course material related to MI’s, you can tell a lot about the scenario from careful reading and knowledge of basic patho verbiage. Example: The paragraph above suggests that the direct pathophysiologic etiology of the heart attack (MI) is most likely related to a. not eating green vegetables. Incorrect: not eating nutritiously is not a DIRECT patho etiology; we do have a hint that he has a risk factor of eating unhealthily (fast food), but don’t “overthink.” b. congestive heart failure. Incorrect: heart failure is a sequela in this context. c. lack of oxygen that narrows the coronary arteries. . Incorrect: the scenario tells you that the MI is “ caused by coronary arteries that are clogged with fat and narrowed so that not enough oxygen–rich blood is getting to his heart.” It doesn’t say that oxygen causes the narrowing, which is what this answer says. d. oxygen not reaching tissue that is distal to narrowing of the coronary arteries. See sentence above… also, you are asked to use the knowledge from the RRD about what the term distal means. (See top of page 5 of RRD 1 for reviewing that info) 8. In reading the paragraph above, it is easy to find 4 risk factors—things that “set the stage” for this patient to have a heart attack. They include all the following EXCEPT a. being a heavy cigarette smoker. b. having profuse diaphoresis. This is the correct choice, because it is one of the S&S, not a risk factor. c. a parent with heart disease. d. high-fat diet. 9. Which mini-concept map do you think best describes accurate linkage between underlying pathophysiology and signs and symptoms (S&S) described in this scenario? a. Jogging increased heart rate  blood pumped throughout body faster  tissues (including lungs and stomach) receive too much blood  patient complains of shortness of breath and nausea. Incorrect: there is nothing about this situation that implies that “too much blood” is being pumped to the organs. b. History of heart disease in family  patient worries about it constantly  becomes anxious  smokes too much  nicotine causes narrowing of all arteries in body, including coronaries  heart attack from narrowed coronaries. c. High levels of fat in the blood from high-fat diet  clogs in coronary arteries develop over time  oxygenated blood cannot get to distal tissues of heart  unoxygenated tissues “cry out” (send pain messages to brain)  patient complains of chest pain. d. Obesity  increased pressure on diaphragm  breathing becomes more difficult  shortness of breath  less oxygen  EKG changes. Note: Part of the key to understanding patho material and doing well on tests is paying close attention to the flow of the notes (RRDs) and then also these scenarios, as well as understanding what exactly the questions are asking. Also, go through each answer and be sure you have a really good rationale for why you chose the answer that you did and why you didn’t choose other answers.

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