Test Bank for Guidelines in Primary Care, 4th Edition by Amelie Hollier – Complete & Updated Questions with Answers

TESTBANK
GUIDELINES IN PRIMARY CARE, 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 b n




1. The nurse is aware that the muscle layer of the heart, which is
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responsible for the heartscontraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS: D bn




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

a. left ventricle.
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b. atrioventricular (AV) node. bn bn



c. sinoatrial (SA) node. bn bn



d. bundle of His. bn bn




ANS: C bn




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
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infarction (MI) differ in women because acute chest pain is not present.
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bnWomen are frequently misdiagnosed as having:
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a. hepatitis A. bn



b. indigestion.
c. urinary infection. bn



d. menopausal complications. bn

, ANS: B bn




Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
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bnforwomen having an MI. bn bn bn




4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac
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bn cycle as the sound ofthe:
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a. AV valves closing.
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b. closure of the semilunar valves.
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c. contraction of the papillary muscles. bn bn bn bn



d. contraction of the ventricles. bn bn bn




ANS: A bn




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
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b n department physician notes the patient has a diagnosis of heart failure with a New
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bn York Heart Association (NYHA)classification of IV. This indicates the patients
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b n condition as: bn




a. moderate heart failure. bn bn



b. severe heart failure. bn bn



c. congestive heart failure. bn bn



d. negligible heart failure. bn bn




ANS: B bn




Class IV: Severe; patient unable to perform any physical activity without
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discomfort. Angina orsymptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has no signs or symptoms
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b n of heart failure, butdoes have a history of rheumatic fever and has been
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bn recently diagnosed with diabetes mellitus.The nurse is aware that using the
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bn American College of Cardiology and the American Heart Association
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b n (ACC/AHA) staging, this patient would be a: b n b n b n b n b n b n




a. stage A. bn



b. stage B. bn



c. stage C. bn



d. stage D. bn




ANS: A bn




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