Clinical Guidelines in Primary Care 3rd Edition Test Bank – 100% Verified Answers

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ClinicalVGuidelinesVinVPrimaryCareV3rdVEditionVTestVbankCh
apterV1VCardiovascularVDisorders

MULTIPLEVCHOICE
1. TheVnurseVisVawareVthatVtheVmuscleVlayerVofVtheVheart,VwhichVisVresponsibleVforVt
heVheartsVcontraction,VisVthe:

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

ANS:VD
TheVmyocardiumVisVtheVspecializedVmuscleVlayerVthatVallowsVtheVheartVtoVcontract.
2. TheVnurseVclarifiesVthatVtheVmasterVpacemakerVofVtheVheartVisVthe:

a. leftVventricle.
b. atrioventricularV(AV)Vnode.
c. sinoatrialV(SA)Vnode.
d. bundleVofVHis.

ANS:VC
TheVSAVnodeVisVtheVmasterVpacemakerVofVtheVheart.
3. TheVnurseVisVawareVthatVtheVsymptomsVofVanVimpendingVmyocardialVinfarctionV(MI)Vdi
fferVinVwomenVbecauseVacuteVchestVpainVisVnotVpresent.VWomenVareVfrequentlyVmisdiagno
sedVasVhaving:

a. hepatitisVA.
b. indigestion.
c. urinaryVinfection.
d. menopausalVcomplications.




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ANS:VB
Indigestion,VgallbladderVattack,VanxietyVattack,VandVdepressionVareVfrequentVmisdiagnosesVf
orVwomenVhavingVanVMI.
4. TheVnurseVidentifiesVtheVLUBBVsoundVofVtheVLUBB/DUBBVofVtheVcardiacVcycleVasVtheV
soundVofVthe:

a. AVVvalvesVclosing.
b. closureVofVtheVsemilunarVvalves.
c. contractionVofVtheVpapillaryVmuscles.
d. contractionVofVtheVventricles.

ANS:VA
TheVLUBBVisVtheVfirstVsoundVofVaVlowVpitchVheardVwhenVtheVAVVvalvesVclose.
5. AVpatientVisVadmittedVfromVtheVemergencyVdepartment.VTheVemergencyVdepartmentVph
ysicianVnotesVtheVpatientVhasVaVdiagnosisVofVheartVfailureVwithVaVNewVYorkVHeartVAsso
ciationV(NYHA)VclassificationVofVIV.VThisVindicatesVtheVpatientsVconditionVas:

a. moderateVheartVfailure.
b. severeVheartVfailure.
c. congestiveVheartVfailure.
d. negligibleVheartVfailure.

ANS:VB
ClassVIV:VSevere;VpatientVunableVtoVperformVanyVphysicalVactivityVwithoutVdiscomfort.VAn
ginaVorVsymptomsVofVcardiacVinefficiencyVmayVdevelopVatVrest.
6. TheVnurseVassessesVthatVtheVhomeVhealthVpatientVhasVnoVsignsVorVsymptomsVofVheartVfai
lure,VbutVdoesVhaveVaVhistoryVofVrheumaticVfeverVandVhasVbeenVrecentlyVdiagnosedVwithV
diabetesVmellitus.VTheVnurseVisVawareVthatVusingVtheVAmericanVCollegeVofVCardiologyVa
ndVtheVAmericanVHeartVAssociationV(ACC/AHA)Vstaging,VthisVpatientVwouldVbeVa:

a. stageVA.
b. stageVB.
c. stageVC.
d. stageVD.

ANS:VA
TheVACC/AHAVstagingVdescribesVstageVAVasVaVpersonVwithoutVsymptomsVofVheartVfailure,
VbutVwithVprimaryVconditionsVassociatedVwithVtheVdevelopmentVofVtheVdisease.




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7. TheVnurseVcaringVforVaVpatientVrecoveringVfromVaVmyocardialVinfarctVwhoVisVonVremoteVt
elemetryVrecognizesVtheVneedVforVaddedVinstructionVwhenVtheVpatientVsays:

a. IVcanVambulateVinVtheVhallwayVwithVthisVgadgetVon.
b. IValwaysVtakeVoffVtheVtelemetryVdeviceVwhenV IVshower.
c. MyVEKGVisVbeingVwatchedVbyVoneVofVtheVnursesVinVCCUVonVtheVhomeVunit.
d. IVamVableVtoVsleepVjustVfineVwithVthisVdeviceVon.

ANS:VB
RemoteVtelemetryVallowsVtheVpatientVtoVbeVonVaVseparateVunit,VbutVbeVmonitoredVinVaVcent
ralVlocation.VTheVpatientsVcanVbeVambulatoryVandVcanVsleepVwithVtheVmonitorVon.VThey
shouldVnotVremoveVtheVmonitorVtoVshower.
8. TheVnurseVassessesVpittingVedemaVthatVcanVbeVdepressedVapproximatelyVinchVandVrefill
sVinV15Vseconds.VTheVnurseVwouldVdocumentVthisVassessmentVas:

a. +1Vedema.
b. +2Vedema.
c. +3Vedema.
d. +4Vedema.

ANS:VB
AV+2VedemaVcanVbeVdocumentedVifVtheVskinVcanVbeVdepressedVinchVandVrespondVwithinV
15Vseconds.
9. WhatVdoVdarkVorVcoldVspotsVonVaVthalliumVscanVindicate?

a. TissueVwithVadequateVbloodVsupply
b. DilatedVvessels
c. AreasVofVneoplasticVgrowth
d. TissueVthatVhasVinadequateVperfusion

ANS:VD
ThalliumVscansVshowVadequateVperfusedVareasVbyVtheVcollectionVofVthallium.VDarkVspotsVo
rVcoldVspotsVindicateVtissuesVthatVhaveVinadequateVperfusion.
TheVnurseVrecognizesVtheVechocardiogramVreportVthatVshowsVanVejectionVfactorVofV42
10.
%VasVanVindicationVof:

a. normalVheartVaction.
b. mildVheartVfailure.
c. moderateVheartVfailure.




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