Week 3 Reading Quiz - Chapters 16,18,19,20

Hypotension associated with neurogenic and anaphylactic shock is due to

peripheral pooling of blood

Cor pulmonale refers to

right ventricular hypertrophy secondary to pulmonary hypertension

A patient with forward effects of heart failure may present which symptoms?

- impaired memory - mental fatigue - confusion

Which causes of shock are considered to be obstructive? (Select all that apply.)

- tension pneumothorax - cardiac tamponade - pulmonary embolism

After being diagnosed with hypertension, a patient returns to the clinic 6 weeks later. The patient reports "moderate" adherence to the recommended lifestyle changes and has experienced a decreased from 165/96 to 148/90 mm Hg in blood pressure. What is the most appropriate intervention for this patient at this time?

Continue lifestyle modification only

A patient has a history of falls, syncope, dizziness, and blurred vision. The patient's symptomology is most likely related to:

Hypotension

The most reliable indicator that a person is experiencing an acute myocardial infarction (MI) is

ST-segment elevation

The majority of cases of anaphylactic shock occur when a sensitized individual comes in contact with:

antibiotics

A patient with heart failure who reports intermittent shortness of breath during the night is experiencing:

paroxysmal nocturnal dyspnea

Hypertrophy of the right ventricle is a compensatory response to

pulmonary stenosis

Cardiogenic shock is characterized by:

reduced cardiac output

After sitting in a chair for an hour, an elderly patient develops moderate lower extremity edema. His edema is most likely a consequence of

right-sided heart failure

Hypertension with a specific, identifiable cause is known as ______ hypertension.

secondary

Restriction of which electrolytes is recommended in the management of high blood pressure?

sodium

A middle-aged patient has a follow up visit for a record blood pressure of 162/96 mm Hg taken 3 weeks ago. The patient has no significant past medical history and take no medications, but smokes 1 1/2 packs of cigarettes per day, drinks alcohol regularly, and exercises infrequently. The patient is about 40 lbs. overweight and admits to a high-fat, high-calorie diet. At the office visit today, the patient's blood pressure is 150/92 mm Hg. What is the least appropriate intervention for this patient at this time?

Begin antihypertensive drug therapy

While hospitalized, an elderly patient with a history of myocardial infarction was noted to have high levels of low-density lipoproteins (LDLs). What is the significance of this finding?

Increased LDL levels are associated with increased risk of coronary artery disease

Acute coronary syndrome in the presence of thrombosis may present at (Select all that apply.)

a. unstable angina b. MI c. sudden cardiac arrest

It can be explained to a patient that high blood pressure increases the risk of (select all that apply.) a. stroke b. renal disease c. diabetes d. ischemic heart disease e. liver disease

a. stroke b. renal disease d. ischemic heart disease

Rheumatic heart disease is most often a consequence of:

b-hemolytic streptococcal infections

Hypotension, distended neck veins, and muffled heart sounds are classic manifestations of:

cardiac tamponade

Patent ductus arteriosus is accurately described as a(n)

communication between the aorta and the pulmonary artery

Dysrhythmias are significant since they (Select all that apply.) a. are an indicator of life span. b. can indicate an underlying disorder. c. can impair venous return. d. increase the severity of heart murmurs. e. can impair cardiac output.

b. can indicate an underlying disorder. e. can impair cardiac output.