MS2.occlusive.cardiac.endChapterQuestions.ch24

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pcp
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186274
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MS2.occlusive.cardiac.endChapterQuestions.ch24
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2012-12-02 11:09:18
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MEDSURG2 OCCLUSIVE CARDIOVASCULAR DISEASE CHAPTER24
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MEDSURG2 OCCLUSIVE CARDIOVASCULAR DISEASE CHAPTER24 TEXTBOOK AND WORKBOOK QUESTIONS
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  1. Which of the following is a risk factor that can be controlled to prevent the development of cardiovascular disease?

    A. Family history of cardiovascular disease.
    B. Ethnicity.
    C. Family history of diabetes mellitus.
    D. Hypertension.
    D. Hypertension.

    Hypertension is a modifiable risk factor for cardiovascular disease.
    (this multiple choice question has been scrambled)
  2. Which of these assessment findings is an atypical symptoms of a myocardial infarction when chest pain is not present?

    A. Fatigue.
    B. Dizziness.
    C. Sweating.
    D. Nausea.
    A. Fatigue.

    Fatigue is an atypical symtpom in the absence of chest pain.
    (this multiple choice question has been scrambled)
  3. Which of the following is the purpose of CABG surgery?

    A. Decrease blood flow to the coronary arteries.
    B. Prevent spasms of the coronary arteries.
    C. Cure coronary artery disease.
    D. Increase blood flow to the myocardium.
    D. Increase blood flow to the myocardium.

    CABG - Coronary Artery Bypass Grafting is done to increase blood flow to the myocardium.
    (this multiple choice question has been scrambled)
  4. Which of the following is a classic symptom of peripheral arterial occlusive disease?

    A. Angina.
    B. Edema.
    C. Intermittent claudication.
    D. Stasis ulcers.
    C. Intermittent claudication.

    Intermittent claudication (calf pain with exertion) occurs with peripheral arterial occlusive disease.
    (this multiple choice question has been scrambled)
  5. Which of the following medications is used to treat intermittent claudication?

    A. Pentoxifylline (Trental).
    B. Cholestyramine (Questran).
    C. Enoxaparin (Lovenox).
    D. Ranolazine (Ranexa).
    A. Pentoxifylline (Trental).

    Pentoxifylline (Trental) relieves claudication by decreasing blood viscosity, which increases blood flow in the extremities.
    (this multiple choice question has been scrambled)
  6. The nurse is caring for a patient who has peripheral arterial disease. Which of the following statements by the patient indicates understanding of how to manage the pain of peripheral arterial disease?

    A. I will use a reclining chair.
    B. I will do knee flexion exercises.
    C. I will lie down frequently.
    D. I will sit with my legs down.
    D. I will sit with my legs down.

    The patient should keep legs down to promote arterial blood flow to distal extremities.
    (this multiple choice question has been scrambled)
  7. Before a cardiac catheterization and coronary arteriogram, it is essential that the nurse ask a patient if the patient is allergic to which of the following?

    A. Iodine.
    B. Eggs.
    C. Codeine.
    D. Penicillin.
    A. Iodine.

    Iodine is the base for the radiopaque dye used for the arteriogram. Notify the physician if the patient is allergic to it. The physician may cancel the procedure or take other precautions, such as the administration of an antihistamine or other emergency medication.
    (this multiple choice question has been scrambled)
  8. A patient, hospitalized with an MI, suddenly begins to have severe respiratory distress with frothy sputum. These signs indicate that the patient probably has developed which of the following?

    A. Pneumothorax.
    B. Pulmonary edema.
    C. Pneumonia.
    D. Cardiac tamponade.
    B. Pulmonary edema.

    These symptoms are classic signs of pulmonary edema.
    (this multiple choice question has been scrambled)
  9. As the nurse examines a patient for decreased circulation in the lower extremities, which of the following findings would indicate adequate circulation?

    A. Capillary refill less than 3 seconds.
    B. Loss of hair on the extremity.
    C. Thickened nails of the extremity.
    D. Diminished pulses in the extremity.
    A. Capillary refill less than 3 seconds.

    The remaining answers, AC&D, are all symptomatic of atherosclerosis.
    (this multiple choice question has been scrambled)
  10. The nurse understands that pain associated with coronary artery disease occurs from which of the following?

    A. Lack of nutrients to the heart.
    B. Lack of sufficient oxygen to the myocardium.
    C. Interrupted electrical activity to the areas of the heart.
    D. Overexertion of heart muscle due to the workload.
    B. Lack of sufficient oxygen to the myocardium.

    Lack of sufficient oxygen to the myocardium is the cause of chest pain.
    (this multiple choice question has been scrambled)
  11. A patient who has been scheduled for a stress ECG asks why this ECG is needed. Which of the following is the nurse's best response?

    A. It shows how the heart performs during exercise.
    B. It verifies how much more physically fit the patient needs to become.
    C. It can predict whether the patient may soon have a heart attack.
    D. It determines the patient's potential target heart rate.
    A. It shows how the heart performs during exercise.

    A stress ECG demonstrates the extent of which the heart tolerates and responds to the additional demands placed on it during exercise. The heart's ability to continue adapting is r/t the adequacy of blood supplied to the myocardium through the coronary arteries.
    (this multiple choice question has been scrambled)
  12. During a stress ECG, a patient reports chest pain and the test is stopped. When the patient is asked to undergo a heart catheterization, the patient appears very apprehensive and worried. Which of the following is the most appropriate action for the nurse to take to reduce the patient's anxiety?

    A. Avoid discussing the heart catheterization until the patient has relaxed.
    B. Explain how coronary artery disease is treated.
    C. Explain how well others have done after having this procedure.
    D. Listen to the patient express feelings about the situation.
    D. Listen to the patient express feelings about the situation.

    When patient is apprehensive/afraid, the nurse should listen/encourage pt expression of feelings. This can ease mental burden, and help pt feel less overwhelmed.
    (this multiple choice question has been scrambled)
  13. Which of the following statements by a patient demonstrates understanding of when to replace nitroglycerin tablets?

    A. Pills no longer tingle when used.
    B. Pills smell like vinegar.
    C. Pills disintegrate when touched.
    D. Pills become discolored.
    A. Pills no longer tingle when used.

    If pills are fresh, the patient should feel a tingling or fizzing in the mouth. Tablets usually need to replaced every 3 months.
    (this multiple choice question has been scrambled)
  14. After hospitalization for a myocardial infarction, a patient is placed on a low-sodium diet. In discussing foods allowed on this diet, the nurse should inform the patient that this list includes which of the following?

    A. Canned soup.
    B. Milk and cheese.
    C. Hot dogs.
    D. Fresh vegetables.
    D. Fresh vegetables.

    Fresh vegetables without added salt are low in sodium. Duh.
    (this multiple choice question has been scrambled)
  15. Which of the following does the nurse correctly include in a teaching plan as modifiable risk factors for coronary artery disease? (select all that apply)

    A. Hypertension.
    B. Race.
    C. Age.
    D. Gender.
    E. Smoking.
    F. Diabetes.
    • A. Hypertension.
    • E. Smoking.
    • F. Diabetes.

    Why is this always a question? Are nursing students really stuggling over defining the word Modifiable? Just saying...
  16. Which of the following should the nurse correctly include in a teaching plan as high in saturated fat? (select all that apply).

    A. Avocado.
    B. Tuna fish.
    C. Beef.
    D. Olive oil.
    E. Poultry.
    F. Coconut oil.
    • C. Beef.
    • E. Poultry.
    • F. Coconut oil.

    Saturated fats come primarily from animal products and some plants including the "tropical oils" - palm and coconut oils. Avocado, tuna, and olive oil have poly unsaturated fats.
  17. The nurse is collecting data on a patient. Which of the following clinical manifestations would the nurse expect to find with acute venous insufficiency? (select all that apply).

    A. Full superficial veins.
    B. An aching, cramping type of pain.
    C. Initial absence of edema.
    D. Cool and cyanotic skin.
    E. Positive Homan's sign.
    F. Hyperemia.
    • A. Full superficial veins.
    • B. An aching, cramping type of pain.
    • D. Cool and cyanotic skin.

    These are found with venous insufficiency.
  18. The nurse understands that which of the following are the most characteristic symptoms of Buerger's disease? (select all that apply).

    A. Numbness.
    B. Pain.
    C. Cramping.
    D. Swelling.
    E. Bounding pulses.
    F. Intermittent claudication.
    • B. Pain.
    • C. Cramping.
    • F. Intermittent claudication.

    Pain is the outstanding symptom; cramping is also a feature to a lesser extent; intermittent claudication and other symptoms of occlusive disease are common.
  19. A patient have been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response by the nurse?

    A. Arteriolar vasoconstriction occurs, most often on the fingertips with symptoms of coldness, pain, and pale skin.
    B. Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis.
    C. Thrombosis r/t prolonged vasoconstriction caused by overexposure to the cold occurs.
    D. Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream.
    A. Arteriolar vasoconstriction occurs, most often on the fingertips with symptoms of coldness, pain, and pale skin.

    The remaining answers are not descriptive of Raynaud's disease.
    (this multiple choice question has been scrambled)

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