HOLLIER Clinical Guidelines in Primary Care 4th Edition Test bank/StudyGuide

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CLINICAL GUIDELINES
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IN PRIMARY CARE
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4th Edition, Hollier
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TESTBANK n

,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15:t t Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted
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Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders

,Chapter 1: Cardiovascular Disorders
Clinical Guidelines in Primary Care 4th Edition Test bank


MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is
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responsible for the hearts contraction, is the: t t t t t t t t t




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

ANS: D t t




The myocardium
t t is the specialized muscle layer that allows the heart to contract.
2.The
t nurse clarifies that the master pacemaker of the heart is the:

a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His. t t




ANS: C t t




The SA node is
t t the master pacemaker
t t of the t t heart.
3. The nurse is aware that the symptoms of an impending myocardial
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t infarction (MI) differ in women because acute chest pain is not
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t present. Women are frequently misdiagnosed as having:
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a. hepatitis A.
b. indigestion.
c. urinary infection. t t




d. menopausal complications. t t

, ANS: B t t




Indigestion, gallbladder attack, anxiety attack, and depression are frequent t t t t t t t t




misdiagnoses for women having an MI.
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4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac
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t cycle as the sound of the: t t t t t




a. AV valves closing.
b. closure of the semilunar t t valves.
c. contraction of the papillary muscles. t t t t




d. contraction of the ventricles. t t




ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
5. A patient is admitted from the emergency department. The emergency
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t department physician notes the patient has a diagnosis of heart failure with a New t t t t t t t t t t t t t




t York Heart Association (NYHA) classification tof IV. This indicates the t t t t t t t t t t t t t t t




t patients condition as: t t




a. moderate heart failure. t t




b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.

ANS: B t t




Class IV: Severe; patient unable to perform any physical activity without
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discomfort. Angina or symptoms of cardiac inefficiency may develop at
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rest. t




6. The nurse assesses that the home health patient has no signs or
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symptoms of heart failure, but does have a history of rheumatic fever t t t t t t t t t t t




tand has been recently diagnosed with diabetes mellitus. The nurse is
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taware
that using the American College of Cardiology and the American Heart
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Association (ACC/AHA) staging, this patient would be a:
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a. stage A.
b. stage B.
c. stage C.
d. stage D.

ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of
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heart failure, but with primary conditions associated with the development of
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the disease.
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