Patho Module 8 Ch. 24

Which information indicates the nurse has an accurate understanding of the difference between systolic and diastolic heart failure?

B

Which information indicates the nurse has an accurate understanding of the pathophysiology of neurogenic shock?

B

Which nursing goal will take priority for a client with a slow-growing aortic aneurysm?

B

A client has hypertension. The nurse should monitor the client for which complications?

B,C

A nurse is teaching a group of clients about modifiable risk factors for coronary artery disease. Which factors should the nurse include?

B,C,D

A nurse will monitor for left heart failure in which clients?

B,C,D

A nurse is performing screenings at a health fair. Which findings make individuals predisposed to heart failure?

B,C,E,F

A client is a cashier at a local grocery store and often stands for 6 to 8 hours at a time. Based on the risk for lower extremity problems, what sign or symptom should the nurse watch for in this client?

C

A client is diagnosed with aortic stenosis. Which chamber of the heart will the nurse monitor most closely?

C

A client is predisposed to deep vein thrombosis. Which intervention should the nurse implement?

C

A client with mitral stenosis asks the nurse, "Why are you listening to my lungs? My heart valve is the problem!" Which explanation given by the nurse is best?

C

A healthy individual stands up suddenly. What effect does the nurse expect when the baroreceptor reflex is activated?

C

A nurse is asked by a client about a silent myocardial infarction. What is the nurse's best response to define a silent myocardial infarction?

C

A nurse is discussing acute coronary syndrome. In addition to myocardial infarction, what other disorder should the nurse include?

C

A nurse is monitoring telemetry. What will the nurse observe if a client is experiencing atrial fibrillation?

C

A nurse plans to teach the staff about an embolism. Which information should the nurse include in the teaching plan?

C

A nurse taught a client with coronary artery disease about fats. Which information indicates the client understood the teaching?

C

The nurse teaches a client about arteriosclerosis. Which information from the client indicates teaching was effective?

C

Which information indicates the nurse has an accurate understanding of multiple organ dysfunction syndrome (MODS)?

C

Which intervention is the priority for a client with Buerger disease?

C

Which laboratory result will alert the nurse that a client with atherosclerosis may be predisposed to coronary artery disease?

C

A client had a myocardial infarction after having stable angina for several years. The client tells the nurse, "I don't understand it. I know my heart arteries have those atherosclerotic plaques, but they have been there for years. What happened to make the heart attack occur right now?" Which information by the nurse is best?

A

A client has acute inflammation of the pericardium. Which term should the nurse use to describe this condition?

A

A client has aortic valve stenosis. Which findings will the nurse typically find on assessment?

A

A client has atherosclerosis. Upon reviewing the findings (see chart), the nurse considers which goal to be the priority?

A

A client has atherosclerosis. Which clinical manifestation will the nurse find upon assessment?

A

A client has deep vein thrombosis. Which action will the nurse take?

A

A client is experiencing an acute myocardial infarction. After applying oxygen, which action should the nurse take next?

A

A nurse administered a medication that will reduce preload in a client with left-sided heart failure. Which medication classification did the nurse give?

A

In a client with mitral stenosis, cardiac catheterization findings would indicate increased pressure in which heart chamber?

A

The nurse monitors for which complication that will make a client with deep vein thrombosis predisposed to post-thrombotic syndrome?

A

Which blood pressure reading from an adult client would the nurse report as normal?

A

Which information indicates the nurse has an accurate understanding of the initial event in the process of atherosclerosis formation in a client?

A

Which laboratory result would cause the nurse to realize that the client has met the criteria for a diagnosis of dyslipidemia?

A

Which piece of equipment should the nurse obtain to best monitor a client with complicated hypertension for early signs of impending renal dysfunction?

A

A client has infective endocarditis. Which findings will help the nurse determine the difference between Osler nodes and Janeway lesions?

A, E

Which heart valves should the nurse monitor because they are the most commonly affected in valvular dysfunction?

A,B

A nurse is conducting health screenings at a local clinic. Which risk factors will place the individuals at a higher risk for hypertension?

A,B,C (advanced age)

Which clients should the nurse assess because they are most predisposed to embolism or already have an embolus?

A,B,C,D

A nurse is conducting health screenings at a local clinic. Which risk factors will place the individuals at a higher risk for hypertension?

A,B,C,E

A client is admitted to the hospital with left-sided heart failure. Which clinical manifestations would the nurse expect to find on assessment?

A,B,D,F

A client has Buerger disease. Which findings will the nurse observe upon assessment?

A,B,E

A nurse is caring for clients with shock that have decreased systemic vascular resistance from vasodilation. The nurse is caring for which clients?

A,B,E

A nurse monitors a client with malignant hypertension for which life-threatening complications?

A,B,E

Which information indicates the nurse has a correct understanding of the pathophysiologic changes that occur in the development of coronary atherosclerotic lesions?

A,B,E

A client has varicose veins and chronic venous insufficiency (CVI). Which information should the nurse consider while planning care for this client?

A,C,D

Which information should the nurse include when teaching the staff about arterial thrombosis in clients?

A,C,D

A nurse is teaching an adult class at a wellness clinic about risk factors for atherosclerosis. Which information should the nurse include?

A,C,E

A client has been diagnosed with a pericardial effusion resulting in the presence of frank blood. The nurse considers which conditions could cause bloody effusion?

A,E

An older adult client has chronic orthostatic hypotension. The nurse knows that this client is at high risk for which complication?

B

The nurse admits a client with chronic arterial insufficiency of the lower extremities from thromboangiitis obliterans. When assessing the lower extremities, which findings would the nurse typically observe?

B

Which client is at risk for atherosclerosis from endothelial dysfunction?

B

Which information indicates a nurse has an accurate understanding of a dissecting aneurysm?

B

Which information indicates the nurse has a correct understanding of the definition of cardiogenic shock?

B

A client develops an acute arterial occlusion in an extremity from peripheral artery disease. Which finding will the nurse observe upon assessment?

B

A client experiences spinal cord damage after a motorcycle accident. The nurse will monitor the client for which type of shock?

B

A client has atherosclerosis. Which complication does the nurse monitor for in this client?

B

A client has cardiomyopathy. What part of the heart is damaged?

B

A client has elevated levels of adipokines. Which goal is most important?

B

A client has hyperthyroidism and develops a thyroid storm. The nurse will monitor the client for which type of heart failure?

B

A client has hypovolemic shock. Which action should the nurse take?

B

A client has inflammation of the myocardium. The nurse should use which term to describe this condition?

B

A nurse is teaching a group of healthy people about reducing the risk of cardiovascular disease. Which information is most important?

B

A nurse is teaching the staff about the role that increased sympathetic nervous system (SNS) activity plays in the development of hypertension. Which information should the nurse include?

B

A client has a loud holosystolic murmur that radiates to the back and axilla. Based on this assessment finding, which valvular abnormality does the nurse suspect the client is experiencing?

C

A client has chronic venous insufficiency. Which intervention will the nurse implement?

C

A client has hypovolemic shock. Which early compensation mechanisms does the nurse expect?

C

A client has inflammation of the internal lining of the cardiac chambers and valves. Which term should the nurse use during report to describe this condition?

C

A client has systolic left heart failure. Which hemodynamic change does the nurse monitor for in this client?

C

Which laboratory result should the nurse check to help determine the cause and severity of septic shock in a client?

D

Which statement by the client with bronchogenic cancer indicates to the nurse that the client may be experiencing superior vena cava syndrome?

D

A 6-year-old client presents with polyarthritis, and the parents report no medical history except for a sore throat 4 weeks ago. On physical examination, a murmur is noted. Which diagnosis is supported by the assessment data?

D

A client develops inflammation of the endocardium caused by Staphylococcus aureus. Which medical diagnosis will the nurse most likely observe written on the chart?

D

A client experiences a decrease in blood volume due to hemorrhage from a wound. The nurse will monitor the client for which type of shock?

D

A client had a myocardial infarction. The nurse is monitoring the glucose closely. What is the rationale for the nurse's action?

D

A client has left heart failure. The nurse wants to know the severity of the disease. Which laboratory result should the nurse check?

D

A client presents to the clinic after eating peanuts. The nurse should monitor the client for which type of shock?

D

A client with rheumatic fever has erythema marginatum. What will the nurse observe upon assessment?

D

A client with shock has an increased heart rate, vasoconstriction (increased systemic vascular resistance), and movement of interstitial fluid into the vascular compartment. Which type of shock will the nurse observe documented on the chart?

D

The nurse cares for a client with deep vein thrombosis (DVT) in the lower leg. Which clinical manifestation would the nurse observe upon assessment?

D

The nurse instructs a client about hypertension. Which information from the client indicates teaching was effective?

D

The nurse teaches a client about mitral valve prolapse syndrome. Which information from the client indicates teaching was effective?

D

The nurse teaches a coworker about pericardial effusions. Which information from the coworker indicates teaching was successful?

D

Which client is at greatest risk for a pulmonary embolism?

D

Which client is at most risk for silent myocardial ischemia?

D

Which client is most predisposed to superior vena cava syndrome?

D

Which condition could indicate to the nurse that the client is experiencing one sign of systemic inflammatory response syndrome (SIRS)?

D