Chapter 08: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Chapter 08: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Modifiable risk factors for coronary artery disease (CAD) include which group?

a.	Diabetes, family history
b.	Family history, smoking
c.	Smoking, heredity
d.	High cholesterol, obesity

 

 

ANS:   D

Modifiable factors include smoking, hyperlipidemia, hypertension, diabetes mellitus, and obesity.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 314         OBJ:    8

TOP:    Risk factors     KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

2. A 63-year-old patient with an acute myocardial infarction is on a cardiac monitor and begins to show some dysrhythmias. The physician will probably prescribe which intravenous medication?

a.	Nitroglycerin
b.	Digitalis
c.	Lidocaine
d.	Amyl nitrite

 

 

ANS:   C

Management of dysrhythmias is accomplished by suppressing the impulse that triggers dysrhythmias.

 

DIF:    Cognitive Level: Analysis                  REF:    Pages 316-317, Table 8-1

OBJ:    11                    TOP:    Acute myocardial infarction

KEY:   Nursing Process Step: Planning         MSC:   NCLEX: Physiological Integrity

 

3. The nurse identifies the nursing diagnosis of Ineffective tissue perfusion related to decreased arterial blood flow for a patient with chronic arterial insufficiency. In evaluating the patient outcomes after patient teaching, which statement by the patient does the nurse recognize as indicating a need for further instruction?

a.	“For about 40 minutes each day, I will walk to the point of pain, then rest, than walk again until I develop pain.”
b.	“I will drink hot coffee several times a day to increase the circulation and warmth in my feet.”
c.	“I will wear loose clothing that doesn’t bind across my legs or waist.”
d.	“I will change my position every hour and avoid long periods of sitting with my legs down.”

 

 

ANS:   B

Avoiding vasoconstriction from nicotine, caffeine, and stress is an important precaution for patients with decreased arterial blood flow.

 

DIF:    Cognitive Level: Analysis

REF:    Pages 317, 367, Nursing Diagnoses boxes                            OBJ:    22

TOP:    Arterial disorders                               KEY:   Nursing Process Step: Evaluation

MSC:   NCLEX: Physiological Integrity

 

4. The patient has right-sided heart failure. She will probably be comfortable in which position?

a.	Dorsal recumbent
b.	Trendelenburg
c.	Supine
d.	Orthopneic

 

 

ANS:   A

Restful sleep may be possible only in the sitting position or with the aid of extra pillows.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 336         OBJ:    10

TOP:    Heart failure    KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity

 

5. A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient’s condition as

a.	moderate heart failure.
b.	severe heart failure.
c.	congestive heart failure.
d.	negligible heart failure.

 

 

ANS:   B

Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or symptoms of cardiac inefficiency may develop at rest.

 

DIF:    Cognitive Level: Knowledge             REF:    Page 334, Box 8-3

OBJ:    11                    TOP:    Classification of heart failure

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity