Ch25-Summary&Questions

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tford7
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104478
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Ch25-Summary&Questions
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2011-09-26 18:13:37
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Ch25 Summary Questions
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Ch25-Summary&Questions
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  1. Which statement most accurately describes a cardiac catheterization procedure?
    a. requires general anesthesia
    b. a noninvasive procedure
    c. visualizes the heart by injecting radiopaque dye into the vessels
    d. retrieves part of the heart muscle, which is sent for lab testing
    C
  2. Which finding should a nurse expect in the assessment of a client with heart failure?
    a. heart murmur
    b. strong, bounding pulses
    c. bradycardia
    d. ease of respirations
    A
  3. Which symptom is commonly seen with pulmonary venous congestion or left-sided heart failure?
    a. peripheral edema
    b. tachypnea and dyspnea
    c. neck vein distension
    d. weight gain
    B
  4. Which statement is true about giving oxygen to a client with heart failure?
    a. administered via mechanical ventilation only
    b. contraindicated in heart failure
    c. useful mostly for the purpose of reducing anxiety
    d. prescribed to decrease the work of breathing
    D
  5. A nurse should expect to find which outcome in a client given and angiotensin converting enzyme (ACE) inhibitor for the treatment off congestive heart failure (CHF)?
    a. increased vascular resistance
    b. vasoconstriction
    c. increase in cardiac volume and cardiac pressure
    d. increased sodium excretion
    D
  6. A nurse should anticipate jugular vein distention (JVD) in a client with which existing heart disorder?
    a. heart failure
    b. HCM
    c. carditis
    d. MVP
    A
  7. Which lifestyle changes should a nurse include in the plan of care for a client with hypertrophic cardiomyopathy (HCM)? (Select all that apply?)
    a. importance of flu vaccine
    b. moderation of alcohol intake
    c. avoidance of hot showers
    d. importance of increased calories intake
    D
  8. Which heart condition denotes a disease of the heart muscle?
    a. cardiomyopathy
    b. MVP
    c. CHF
    d. pericarditis
    A
  9. What is the next course of treatment for a client with cardiomyopathy whose condition worsens despite appropriate medical intervention?
    a. heart transplantation
    b. valve replacement
    c. valve repair
    d. CABG
    A
  10. A client presents with pink, frothy sputum. What is the most appropriate nursing action?
    a. hold the next routine does of diuretic
    b. call the physician stat
    c. insert an IV
    d. insert a nasogastric tube
    B
  11. Prioritize the following nursing diagnoses based on Malow's Hierarchy of Needs for patients with heart failure:
    a. activity intolerance related to insufficient knowledge of adaptive techniques needed secondary to impaired cardiac function
    b. risk for ineffective respiratory function related to excessive secretions secondary to cardiopulmonary dysfunction
    c. anxiety related to powerlessness and vulnerability
    B: physiological, A: safety, C: esteem
  12. Prioritize the following nursing diagnoses based on Maslow's Hierarchy of Needs for a patient with cardiomyopathy.
    a. activity intolerance related to insufficient knowledge of adaptive techniques needed secondary to impaired cardiac function
    b. risk for ineffective respiratory function related to decreased respiratory depth
    c. pain related to friction rub and inflammatory process
    B: physiological necessity, C: physiological comfort, A: Safety
  13. __________ __________ is a condition in which the heart is physiologically unable to meet metabolic demands of the tissues.
    heart failure - conditions that can produce heart failure are: valvular problems, cardiomyopathies, cardiac inflammatory disease, and trauma to the cardiac tissue.
  14. With heart failure, initially the heart attempts to compensate by increasing the ______ ______ and force of ________.
    With heart failure, initially the heart attempts to compensate by increasing the heart rate and force of contraction.
  15. Long-term compensation by the heart causes a negative result - the heart works harder, which in turn worsens the degree of ________ ________.
    heart failure
  16. Heart failure is classified in different ways. Which of the following are the ways? (Select all that apply.)
    a. the cause of the failure
    b. the symptoms it causes
    c. the side of the heart that is affected
    d. whether the problem is a problem with the muscle's pumping or relaxing
    All of the above
  17. DCM is a condition of the ______ ______ having a larger volume to hold with a thinner muscle wall with which to pump.
    left ventricle
  18. HCM is a condition of the ventricle having a thickened muscle, which reduces the ________ it can hold and reduces its ability to ______ .
    volume; relax
  19. ________ is a condition of the wall of the ventricle being restricted from movement.
    RCM
  20. __________ is an inflammation of the heart.
    Carditis
  21. Carditis is treated with __________ and ________ medication.
    antibiotic; pain
  22. Ideally, the blood flows in one direction throughout the heart. __________ causes the direction of some of the bloodflow to change, which results in higher volume of blood in areas that are not prepared to handle it.
    regurgitation
  23. Direction changes in the _________ cause the heart to work harder to compensate for the increase in volume of blood.
    bloodflow
  24. __________ hinders the momentum of the bloodflow.
    stenosis
  25. Decreased momentum of bloodflow results in blood gathering with higher prevalence of _________ and a change in the heart muscle to ensure _________ __________.
    clotting, peripheral perfusion

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