SOLVED

Chapter 13 Question 1 Which clinical manifestation would the nurse evaluate as most significant in a patient with mitral valve stenosis? 1. Edema of the lower extremities 2. A heart rate of 110 beats per minute 3. Altered deep tendon reflexes 4. Bounding peripheral pulse Question 2 When conducting a health history on a patient with aortic valve stenosis, which question would be most important for the nurse to ask? 1. “Do you have a family history of coronary artery disease?” 2. “Do any of your family members have valvular problems?” 3. “Have you ever been diagnosed with rheumatic fever?” 4. “Have you ever been diagnosed with high blood pressure?” Question 3 A patient with history of mitral valve stenosis is placed on a cardiac monitor. Which arrhythmia would the nurse anticipate since it is a common rhythm for patients with this history? 1. Ventricular tachycardia 2. Third-degree heart block 3. Junctional rhythm 4. Atrial fibrillation Question 4 A patient is diagnosed with an acute myocardial infarction and ruptured papillary muscle. Which action is the highest priority for the nurse to complete? 1. Obtain an electrocardiogram. 2. Measure the patient’s cardiac output. 3. Assess the patient’s neurological status. 4. Assess respiratory status. Question 5 The nurse is collecting the health history of a patient hospitalized for possible infective endocarditis. Which findings would the nurse evaluate as supporting this presumptive diagnosis? 1. The patient reports having rheumatic heart disease as a child. 2. The patient has asthma. 3. The patient had a routine screening colonoscopy 1 month ago. 4. The patient is maintained on hemodialysis. 5. The patient has developed osteoarthritis over the last 2 years. Question 6 The nurse has completed discharge teaching with a patient who had a mechanical valve replacement. Which patient behavior would the nurse evaluate as indicating additional teaching is necessary? 1. The patient asks his wife to purchase a blood pressure monitor from their pharmacy. 2. The patient tells the nurse of his plans to visit Rome next year. 3. The patient orders a pasta salad with broiled salmon for lunch. 4. The patient makes plans to stay with his daughter in her three story condominium for a few weeks after discharge. Question 7 A patient is admitted for treatment of heart failure. The nurse would attribute which patient complaint to this diagnosis? 1. “I often have headaches early in the morning.” 2. “I have some numbness in my feet.” 3. “I wake up a lot at night.” 4. “I find I bruise more easily now.” Question 8 A patient diagnosed with heart failure makes the following comments. Which statement requires additional assessment by the nurse? 1. “I still sleep better in a recliner.” 2. “I do pretty well as long as I don’t try to do too much at one time.” 3. “My heart rate runs around 60 to 64 most of the time.” 4. “I’ve gained 4 pounds since yesterday.” Question 9 A patient has been diagnosed with dilated cardiomyopathy. The nurse would provide which instruction? 1. “It will be necessary for you to rest more and to limit exercise.” 2. “In some cases, this condition is treated with a surgical procedure to remove part of the ventricular septum.” 3. “You will need to take calcium channel blockers exactly as prescribed for the rest of your life.” 4. “A common treatment for your condition is the implantation of a cardioverter-defibrillator.” Question 10 A patient with heart failure tells the nurse that she is “allergic” to ACE inhibitors because they make her cough “all of the time.” What does this information suggest to the nurse? 1. The patient should not take an angiotensin receptor blocker because of the ACE inhibitor allergy. 2. The patient’s asthma has been exacerbated by the use of an ACE inhibitors. 3. The patient experienced a side effect of the ACE inhibitor, which is a cough. 4. The patient’s cough is due to long-standing heart failure.