Test Bank for Clinical Guidelines Primary Care 4th Ed by Hollier all 19 chapters complete

TESTBANK n




GUIDELINES IN PRIMARY CARE, 4TH EDITION
n n n n n



AmelienHollier

,ClinicalnGuidelinesninnPrimarynCaren4thnEditionnHolliernTestnBank
TablenofnContents
Chaptern1:nCardiovascularnDisorders
Chaptern2:nDermatologicnDisorders
Chaptern3:nEarnNosen&nThroatnDisorders
Chaptern4:nEndocrinenDisorders
Chaptern5:nGastrointestinalnDisorders
Chaptern6:nGeneticnDisorders
Chaptern7:nHealthnPromotionn-nPediatric
Chaptern8:nHematologicnDisorders
Chaptern9:nLactationnandnBreastfeeding
Chaptern10:nMen’snHealthnDisorders
Chaptern11:nNeurologicnDisorders
Chaptern12:nOphthalmicnDisorders
Chaptern13:nOrthopedicnDisorders
Chaptern14:nPregnancy
Chaptern15:nPsychiatricnDisorders,nViolence,nAbuse,nNeglect
Chaptern16:nPulmonarynDisorders
Chaptern17:nSexuallynTransmittednDiseases
Chaptern18:nUrologicnDisorders
Chaptern19:nWomen’snHealthnDisorders

,Chaptern1:nCardiovascularnDisorders
ClinicalnGuidelinesninnPrimarynCaren4thnEditionnTestnbank


MULTIPLEnCHOICE
1.n n Thennursenisnawarenthatnthenmusclenlayernofnthenheart,nwhichnisnresponsiblenfornthenheartsnc
ontraction,nisnthe:

a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS:nD
Thenmyocardiumnisnthenspecializednmusclenlayernthatnallowsnthenheartntoncontract.n2
.Thennursenclarifiesnthatnthenmasternpacemakernofnthenheartnisnthe:

a. leftnventricle.
b. atrioventricularn(AV)nnode.
c. sinoatrialn(SA)nnode.
d. bundlenofnHis.

ANS:nC
ThenSAnnodenisnthenmasternpacemakernofnthenheart.
3. Thennursenisnawarenthatnthensymptomsnofnannimpendingnmyocardialninfarctionn(MI)ndifferninnw
omennbecausenacutenchestnpainnisn notnpresent.nWomennarenfrequentlynmisdiagnosednasnhaving:

a. hepatitisnA.
b. indigestion.
c. urinaryninfection.
d. menopausalncomplications.

, ANS:nB
Indigestion,ngallbladdernattack,nanxietynattack,nandndepressionnarenfrequentnmisdiagnosesnforn
womennhavingnannMI.
4. ThennursenidentifiesnthenLUBBnsoundnofnthenLUBB/DUBBnofnthencardiacncyclenasnthensoundnofnt
he:

a. AVnvalvesnclosing.
b. closurenofnthensemilunarnvalves.
c. contractionnofnthenpapillarynmuscles.
d. contractionnofnthenventricles.

ANS:nA
ThenLUBBnisnthenfirstnsoundnofnanlownpitchnheardnwhennthenAVnvalvesnclose.
5.Anpatientnisnadmittednfromnthenemergencyndepartment.nThenemergencyndepartmentnphysiciannn
otesnthenpatientnhasnandiagnosisnofnheartnfailurenwithnanNewnYorknHeartnAssociationn(NYHA)ncla
ssificationnofnIV.nThisn indicatesnthenpatientsnconditionnas:

a. moderatenheartnfailure.
b. severenheartnfailure.
c. congestivenheartnfailure.
d. negligiblenheartnfailure.

ANS:nB
ClassnIV:nSevere;npatientnunablentonperformnanynphysicalnactivitynwithoutndiscomfort.nAnginanorns
ymptomsnofncardiacninefficiencynmayndevelopnatnrest.
6. Thennursenassessesnthatnthenhomenhealthnpatientnhasnnonsignsnornsymptomsnofnheartnfailure,nbutnd
oesnhavenanhistorynofnrheumaticnfevernandnhasnbeennrecentlyndiagnosednwithndiabetesnmellitus.nTh
ennursenisnawarenthatnusingnthenAmericannCollegenofnCardiologynandnthenAmericannHeartnAssoci
ationn(ACC/AHA)nstaging,nthisnpatientnwouldnbena:

a. stagenA.
b. stagenB.
c. stagenC.
d. stagenD.

ANS:nA
ThenACC/AHAnstagingndescribesnstagenAnasnanpersonnwithoutnsymptomsnofnheartnfailure,nbutnwithn
primarynconditionsn associatednwithnthendevelopmentnofnthendisease.