CLC EXAM TEST BANK 2024 CERTIFIED LACTATION CONSULTANT EXAM TEST BANK 300 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)

In which of the following patient situations would a physician be most justified in preliminarily ruling out pericarditis as a contributing pathology to the patient's health problems? - CORRECT ANSWERS A 77-year-old with diminished S3 and S4 heart tones, irregular heart rate and history of a-fib Following cardiac surgery, the nurse suspects the patient may be developing a cardiac tamponade. Which of the following clinical manifestations would support this diagnosis? - CORRECT ANSWERS Muffled heart tones, narrowed pulse pressure and low BP 84/60 Cardiac tamponade results in increased intracardiac pressure, progressive limitation of ventricular diastolic filling and decrease SV and CO Which of the following phenomena would be most likely to accompany increased myocardial oxygen demand? - CORRECT ANSWERS Increased aortic pressure Results in rise in afterload, wall tension, ultimately MVO2 Which of the following teaching points would be most appropriate for a group of older adults who are concerned about their cardiac health? - CORRECT ANSWERS The plaque that builds up in your heart vessels obstructs the normal flow of blood and can even break loose and lodge itself in a vessel Stable plaque is associated with obstruction of blood flow, while unstable plaque may dislodge and result in thrombus formation Four patients were admitted to the emergency department with severe chest pain. All were given preliminary treatment with aspirin, morphine, oxygen, and nitrates and were monitored by ECG. Which patient most likely experienced myocardial infarction? - CORRECT ANSWERS An 80-year-old woman whose pain started at 6am shortly after awakening and was not relieved by nitrates or rest; the ECG showed St-segment elevation with inverted T waves and abnormal Q waves; levels of cardiac markers subsequently rose The chest pain of MI does not respond to rest or nitrates Which of the following statements provides blood work results and rationale that would be most closely associated with acute coronary syndrome? - CORRECT ANSWERS Elevated creatinine kinase and troponin, both of which normally exist intracellularly rather than in circulation Myocardial necrosis releases creatinine kinase and troponin that normally exist intracellularly A number of clients have presented to the emergency department in the last 32 hours with complaints that preliminarily indicative of MI, which of the following clients is least likely to have a STEMI? - CORRECT ANSWERS A 71-year-old man who has most skin, fever and chest pain that is excruciating when he moves but relieved when at rest STEMI pain not normally relieved by rest, nor would fever be a common symptom Following a STEMI, the nurse should be assessing the pt for which of the following complications? - CORRECT ANSWERS Large amount of pink, frothy sputum and new onset of murmur A 78-year-old man has been experiencing nocturnal chest pain over the last several months, and his family physician diagnosed him with variant angina. Which of the following teaching points should the physician include in his explanation of the man's new diagnosis? - CORRECT ANSWERS I'm going to start you on a low-dose aspirin, and it will help greatly if you can lose weight and keep exercising. An IV drug abuser walks into the ED telling the nurse that, "he is sick". He looks feverish with flushed, moist skin; dehydrated with dry lips/mucous membranes; and fatigued. The assessment reveals a loud murmur. An echo was ordered that shows large vegetation growing on his mitral valve. The patient is admitted to the ICU. The nurse will be assessing this patient for which possible life-threatening complications? - CORRECT ANSWERS Systemic emboli, especially to the brain Systemic emboli develop and break off the mitral valve and travel into the vascular system A 34-year-old man who is an IV drug user has presented to the ED with malaise, abdominal pain & lethargy. The health care team wants to rule out endocarditis as a diagnosis. Staff of the department would most realistically anticipate which of the following sets of diagnostics? - CORRECT ANSWERS Echo, blood cx and temperature. Echo helps visualize the heart, while blood cx would confirm presence or absence of microorganisms in the circulation, and temperature would gauge presence of infection. A 66-year-old obese man with diagnoses of ischemic heart disease has been diagnosed with heart failure that his care team has characterized as attributable to systolic dysfunction. Which of the following assessment findings is inconsistent with his