GUIDELINESIN PRIMARYCARE, 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: Sexually Transmitted 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
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Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE x
1. The nurse is aware that the muscle layer of the 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 x
The myocardium is the specialized muscle layer that allows the heart to contract.
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2. The nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle. x
b. atrioventricular (AV) node. x x
c. sinoatrial (SA) node. x x
d. bundle of His. x x
ANS: C x
The SA node is the master pacemaker of the 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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x women because acute chest pain is not present. Women are frequently misdiagnosed as having:
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a. hepatitis A. x
b. indigestion.
c. urinary infection. x
d. menopausal complications. x
, ANS: B x
Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for women
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having an MI.
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4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
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a. AV valves closing. x x
b. closure of the semilunar valves. x x x x
c. contraction of the papillary muscles. x x x x
d. contraction of the ventricles. x x x
ANS: A x
The LUBB is the first sound of a 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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x notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
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x classification of IV. This indicates the patients condition as: x x x x x x x x
a. moderate heart failure. x x
b. severe heart failure. x x
c. congestive heart failure. x x
d. negligible heart failure. x x
ANS: B x
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
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symptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has nosigns or symptoms of heart failure, but does
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x have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The
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x nurse is aware that using the American College of Cardiology and the American Heart Association
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x (ACC/AHA) staging, this patient would be a: x x x x x x
a. stage A. x
b. stage B. x
c. stage C. x
d. stage D. x
ANS: A x
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
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primary conditions associated with the development of the disease.
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