Chapter 8 Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

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Chapter 8  Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

MULTIPLE CHOICE

1. The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s contraction, is the:
a. endocardium.
b. pericardium.

c. mediastinum. d. myocardium.

ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.

DIF: Cognitive Level: Comprehension REF: Page 308 OBJ: 2 TOP: Myocardium KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

2. The nurse clarifies that the master pacemaker of the heart is the:

  1. left ventricle.
  2. atrioventricular (A V) node.
  3. sinoatrial (SA) node.
  4. bundle of His.

ANS: C
The SA node is the master pacemaker of the heart.

DIF: Cognitive Level: Application REF: Page 308 OBJ: 10
TOP: Acute myocardial infarction KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having:

  1. hepatitis A.
  2. indigestion.
  3. urinary infection.
  4. menopausal complications.

ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women having an MI.

DIF: Cognitive Level: Application REF: Page 334 OBJ: 16
TOP: MIs in women KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

4. The nurse identifies the “LUBB” sound of the “LUBB/DUBB” of the cardiac cycle as the sound of the:

a. AV valves closing.

  1. closure of the semilunar valves.
  2. contraction of the papillary muscles.
  3. contraction of the ventricles.

ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.

DIF: Cognitive Level: Application REF: Page 310 OBJ: 4 TOP: Lubb sound KEY: Nursing Process Step: Assessment
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:

  1. moderate heart failure.
  2. severe heart failure.
  3. congestive heart failure.
  4. negligible heart failure.

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 340, Box 8-3
OBJ: 9 TOP: Classification of heart failure
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

6. The nurse assesses that the home health patient has no signs or symptoms of heart failure, but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is aware that using the American College of Cardiology and the American Heart Association (ACC/AHA) staging, this patient would be a:

  1. stage A.
  2. stage B.
  3. stage C.
  4. stage D.

ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with primary conditions associated with the development of the disease.

DIF: Cognitive Level: Analysis REF: Page 340, Box 8-3
OBJ: 9 TOP: Heart failure KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

7. The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient says:

  1. “I can ambulate in the hallway with this gadget on.”
  2. “I always take off the telemetry device when I shower.”
  3. “My EKG is being watched by one of the nurses in CCU on the home unit.”
  4. “I am able to sleep just fine with this device on.”

ANS: B
Remote telemetry allows the patient to be on a separate unit, but be monitored in a central location. The patients can be ambulatory and can sleep with the monitor on. They should not remove the monitor to shower.

DIF: Cognitive Level: Application REF: Page 314 OBJ: 6
TOP: Remote telemetry KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity

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