Management Of Clients With Functional Cardiac Disorders

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Question 1
Free
Multiple Choice

The nurse would assess that the individual most at risk for death from coronary heart disease (CHD) is a

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A

30-year-old Hispanic woman.

B

42-year-old Caucasian woman.

C

55-year-old Asian man.

D

62-year-old African American woman.

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Question 2
Free
Multiple Choice

The nurse would explain to a client who smokes that the nicotine in cigarette smoke increases the prevalence of CHD by

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A

causing proliferation of smooth muscle cells.

B

decreasing the oxygen-carrying capacity of the blood.

C

increasing fat deposits along the intima of blood vessels.

D

increasing the heart rate and the risk of dysrhythmia.

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Question 3
Free
Multiple Choice

In advising a client with higher levels of high-density lipoproteins (HDLs) in proportion to low-density lipoproteins (LDLs), the nurse would suggest that the client

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A

consult the physician for an anticholesterol prescription.

B

initiate a moderate exercise program.

C

is less likely to develop CHD.

D

should consider a reduced-fat diet.

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Question 4
Free
Multiple Choice

The nurse would clarify for a client that the lipoproteins representing the "good" cholesterol are the

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A

HDLs.

B

LDLs.

C

VDRLs.

D

VLDLs.

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Question 5
Free
Multiple Choice

The nurse would advise a group of diabetic clients that primary prevention for CHD can be achieved by keeping their fasting blood sugar levels below

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A

56 mg/dl.

B

72 mg/dl.

C

105 mg/dl.

D

126 mg/dl.

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Question 6
Multiple Choice

To prevent a post-procedure complication, nursing care of a client after a percutaneous transluminal coronary angioplasty (PTCA) generally would include

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A
administering heparin.
B
assessing for clinical manifestations of shock.
C
forcing fluids.
D
maintaining the client flat in bed for 24 hours.
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Question 7
Multiple Choice

The nurse would explain the etiology of heart failure after myocardial infarction (MI) as

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A
impairment of the contractile function of the ventricle.
B
inability of the heart chambers to fill adequately.
C
increased myocardial workload.
D
increased oxygen demands of the myocardium.
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Question 8
Multiple Choice

The nurse explains that in addition to having a PTCA to clear the artery, the client will also have plaque vaporized by the use of

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A
anticoagulant therapy.
B
intracoronary stent.
C
laser ablation.
D
transmyocardial revascularization.
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Question 9
Multiple Choice

The nurse would caution a client with arthritis that this chronic inflammatory disease increases the risk for CHD through the

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A
amount of aspirin taken as a remedy for arthritis.
B
decreased physical activity relative to arthritic discomfort.
C
increased level of C-reactive protein.
D
increased release of histamines.
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Question 10
Multiple Choice

When a client is admitted to the hospital with clinical manifestations of left ventricular heart failure, the nurse would question the client about

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A
abdominal pain.
B
breathlessness.
C
leg swelling.
D
nausea.
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Question 11
Multiple Choice

When auscultating the respirations of a client in left ventricular heart failure, the nurse would most likely detect

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A
crackling sounds.
B
diminished sounds.
C
grunting.
D
wheezing.
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Question 12
Multiple Choice

A client is admitted to the intensive care unit with severe dyspnea, fear, noisy respirations, sweating, and tachypnea. The nurse would recognize that the client is exhibiting manifestations of

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A
acute pulmonary edema.
B
acute myocardial infarction.
C
chronic congestive heart failure.
D
right ventricular failure.
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Question 13
Multiple Choice

When the a client with left ventricular heart failure complains that she has to get up several times during the night to urinate, the nurse would explain that this bothersome event is

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A
a late clinical manifestation of heart failure.
B
an indication that the right ventricle is being affected.
C
caused by an increase in blood flow to the kidneys when lying down.
D
the result of increased secretion of aldosterone at night.
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Question 14
Multiple Choice

When the client who had a myocardial infarction develops dependent edema, the nurse would assess that this could be an early manifestation of

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A
fluid deficit.
B
left ventricular failure.
C
renal failure.
D
right ventricular failure.
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Question 15
Multiple Choice

A client with heart failure has been prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse would explain that this drug alleviates manifestations of heart failure by

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A
decreasing circulating volume.
B
increasing myocardial contractility.
C
increasing vasodilation.
D
slowing atrioventricular conduction time.
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Question 16
Multiple Choice

When a client with heart failure is receiving loop diuretics, the nurse would be sure to monitor serum

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A
calcium levels.
B
enzyme levels.
C
potassium levels.
D
sodium levels.
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Question 17
Multiple Choice

The nurse would clarify to a client considering a MIDCABG that this procedure is less invasive and does not utilize

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A
anticoagulants.
B
cardiopulmonary bypass.
C
long-term anesthesia.
D
mammary arteries.
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Question 18
Multiple Choice

A nurse is speaking to a group of high school girls about not smoking. The nurse would caution them that the risk of CHD in women who smoke is greater than that for nonsmoking women by

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A
two times.
B
three times.
C
four times.
D
five times.
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Question 19
Multiple Choice

Reporting that a client's total cholesterol reading is 230, the nurse would know this result indicates a reading that is

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A
low.
B
borderline high.
C
high.
D
very high.
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Question 20
Multiple Choice

The nurse would recognize that the client at greatest risk for CHD is a

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A
35-year-old man who is 15 pounds overweight.
B
40-year-old woman who repeatedly gains and loses 15 pounds.
C
45-year-old man who lost 30 pounds by following a strenuous diet.
D
50-year-old man 20 pounds overweight but a lifelong swimmer.
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