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Chapter 08 Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
Complete chapter Questions And Answers
Sample Questions
MULTIPLE CHOICE
1. Modifiable risk factors for coronary artery disease (CAD) include which group?
ANS: D
Modifiable factors include smoking, hyperlipidemia, hypertension, diabetes mellitus, and obesity.
DIF: Cognitive Level: Comprehension REF: Page 314 OBJ: 8 TOP: Risk factors KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. A 63-year-old patient with an acute myocardial infarction is on a cardiac monitor and begins to show some dysrhythmias. The physician will probably prescribe which intravenous medication?
ANS: C
Management of dysrhythmias is accomplished by suppressing the impulse that triggers dysrhythmias.
DIF: Cognitive Level: Analysis REF: Pages 316-317, Table 8-1
OBJ: 11 TOP: Acute myocardial infarction
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
3. The nurse identifies the nursing diagnosis of Ineffective tissue perfusion related to decreased arterial blood flow for a patient with chronic arterial insufficiency. In evaluating the patient outcomes after patient teaching, which statement by the patient does the nurse recognize as indicating a need for further instruction?
Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Test Bank 8-2
down.”
ANS: B
Avoiding vasoconstriction from nicotine, caffeine, and stress is an important precaution for patients with decreased arterial blood flow.
DIF: Cognitive Level: Analysis
REF: Pages 317, 367, Nursing Diagnoses boxes OBJ: 22
TOP: Arterial disorders KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity
4. The patient has right-sided heart failure. She will probably be comfortable in which position?
ANS: A
Restful sleep may be possible only in the sitting position or with the aid of extra pillows.
DIF: Cognitive Level: Analysis REF: Page 336 OBJ: 10 TOP: Heart failure KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
5. A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient’s condition as
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or symptoms of cardiac inefficiency may develop at rest.
DIF: Cognitive Level: Knowledge REF: Page 334, Box 8-3
OBJ: 11 TOP: Classification of heart failure
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
6. A patient admitted from the emergency room with a diagnosis of heart failure and a NYHA classification of IV is requesting ambulation to the bathroom. Which nursing intervention would be appropriate for this patient?
ANS: C
Class IV: Severe: patient unable to perform any physical activity without discomfort.
Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Test Bank 8-3
DIF: Cognitive Level: Analysis
OBJ: 11 TOP: Heart failure MSC: NCLEX: Physiological Integrity
REF: Page 334, Box 8-3
KEY: Nursing Process Step: Implementation
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