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Exam (elaborations)

PCCN 1.2 Exam with Questions and Answers

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PCCN 1.2 Exam with Questions and Answers Discharge education for a patient after a percutaneous coronary intervention (PCI) with transradial access should include: a. "Do not play tennis for 1 week." b. "Do not take a tub bath for 1 week." c. "It is normal to feel some numbness and tingling in the hand." d. "It is normal to feel some intermittent chest pain for about a week." ANSWER a Which of the following findings would occur in dilated cardiomyopathy? A. Murmur of mitral regurgitation B. Hypertension C. Elevated sedimentation rate D. Syncope ANSWER a (Mitral regurgitation is often present in dilated cardiomyopathy as a result of ventricular dilation and stretching of the mitral valve ring. Syncope is seen in hypertrophic cardiomyopathy. Elevated sedimentation rate is associated with inflammatory response and may be seen in restrictive cardiomyopathy because it frequently is associated with connective tissue disorders. Hypotension rather than hypertension may be seen in dilated cardiomyopathy.) (Remember that dilated cardiomyopathy is like heart failure except that heart failure results from some other condition (e.g., hypertension) and cardiomyopathy is a primary muscle disease. Mitral regurgitation also occurs in left ventricular failure as a result of stretching of the mitral valve ring. Choose option a.) A patient has just returned from aortofemoral bypass grafting. He has bilateral audible pulses. How is the ankle-brachial index (ABI) calculated? A. Divide the brachial pressure by the ankle pressure on the opposite side.

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