Test Bank Clinical Guidelines in Primary Care, 5th Edition By Amelie Hollier. (All Chapters, Latest Edition, Verified Answers)

TESTBANK 21




GUIDELINESINPRIMARYCARE,4TH EDITION
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Amelie Hollier
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,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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Table of Contents
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Chapter 1: Cardiovascular Disorders
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Chapter 2: Dermatologic Disorders
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Chapter 3: Ear Nose & Throat Disorders
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Chapter 4: Endocrine Disorders
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Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
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Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
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Chapter 11: Neurologic Disorders
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Chapter 12: Ophthalmic Disorders
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Chapter 13: Orthopedic Disorders
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Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
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Chapter 16: Pulmonary Disorders
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Chapter 17: SexuallyTransmitted Diseases
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Chapter 18: Urologic Disorders
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Chapter 19: Women’s Health Disorders
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,Chapter 1: Cardiovascular Disorders 21 21 21




Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE 21




1. The nurse is aware that themuscle layer ofthe heart,which is responsible for the hearts
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contraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS: D 21




Themyocardium is thespecialized muscle layer that allows the heartto contract.
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2.The nurse clarifies that the master pacemaker ofthe heart is the:
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a. leftventricle. 21




b. atrioventricular(AV) node. 21 21




c. sinoatrial(SA) node. 21 21




d. bundle ofHis. 21 21




ANS: C 21




TheSA node is themaster pacemaker ofthe heart.
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3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
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21 womenbecause acute chest pain is notpresent. Women are frequentlymisdiagnosed as having:
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a. hepatitisA. 21




b. indigestion.
c. urinaryinfection. 21




d. menopausalcomplications. 21

, ANS: B 21




Indigestion, gallbladder attack, anxietyattack, and depressionare frequent misdiagnoses for
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women having an MI.
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4. The nurse identifies the LUBB sound ofthe LUBB/DUBB ofthe cardiac cycle as thesound ofthe:
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a. AV valves closing. 21 21




b. closure ofthesemilunar valves. 21 21 21 21




c. contraction of the papillarymuscles. 21 21 21 21




d. contraction ofthe ventricles. 21 21 21




ANS: A 21




The LUBB is the first sound ofa low pitch heard when the AV valves close.
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5.A patient is admitted from the emergency department. The emergency department physician
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notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
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classification of IV. This indicates the patients conditionas:
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a. moderate heartfailure. 21 21




b. severe heartfailure. 21 21




c. congestive heartfailure. 21 21




d. negligible heartfailure. 21 21




ANS: B 21




Class IV:Severe; patient unable toperform any physical activitywithout discomfort. Angina or
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symptoms of cardiac inefficiencymaydevelop at rest.
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6. The nurseassesses thatthe home healthpatient has nosigns or symptoms of heart failure, butdoes
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21 have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.The nurse
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21 is aware that using the American College of Cardiology and the American Heart Association
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21 (ACC/AHA) staging, this patient would be a: 21 21 21 21 21 21




a. stageA. 21




b. stage B. 21




c. stage C. 21




d. stageD. 21




ANS: A 21




The ACC/AHAstagingdescribes stage Aas a personwithout symptoms of heart failure, butwith
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primary conditions associated withthe development ofthe disease.
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