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?

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?

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?

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?

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

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