Chapter 51 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 51 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

After a cardiac catheterization, an infant is diagnosed with a malformation of the mitral valve. The nurse will monitor the client for the development of a problem associated with the delivery of

1. oxygenated blood to the body.
2. deoxygenated blood to the lung.
3. oxygenated blood to the right atrium.
4. deoxygenated blood to the left ventricle.

Correct Answer: 1

Rationale 1: The mitral valve separates the left ventricle from the left atrium. Problems with this valve will impede the flow of oxygenated blood from the left atrium into the left ventricle for delivery to the body.

Rationale 2: The pulmonic valve separates the right ventricle from the pulmonary artery. Problems with this valve would impede the delivery of deoxygenated blood back to the lung.

Rationale 3: The blood that returns to the right atrium is deoxygenated.

Rationale 4: The blood delivered to the left ventricle is oxygenated.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Describe three major alterations in cardiovascular function.

MNL Learning Outcome: 4.10.3. Relate the factors that alter cardiac function to clinical manifestations and treatment.

Page Number: 1287

Question 2

Type: MCSA

During assessment, the nurse notes a cardiac murmur that occurs between S1 and S2. The nurse documents this murmur as being

1. diastolic.
2. holosystolic.
3. systolic.
4. pansystolic.

Correct Answer: 3

Rationale 1: The period of the cardiac cycle between S1 and S2 is ventricular systole. Any extra heart sounds heard during this period of time would be documented as systolic. The period of time between S2 and the next S1 is diastole.

Rationale 2: The period of the cardiac cycle between S1 and S2 is ventricular systole. Any extra heart sounds heard during this period of time would be documented as systolic. Holosystolic is not a type of murmur.

Rationale 3: The period of the cardiac cycle between S1 and S2 is ventricular systole. Any extra heart sounds heard during this period of time would be documented as systolic. The period of time between S2 and the next S1 is diastole.

Rationale 4: The period of the cardiac cycle between S1 and S2 is ventricular systole. Any extra heart sounds heard during this period of time would be documented as systolic. Pansystolic is not a type of murmur.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1. Outline the structure and physiology of the cardiovascular system.

MNL Learning Outcome: 4.10.3. Relate the factors that alter cardiac function to clinical manifestations and treatment.

Page Number: 1289

Question 3

Type: MCMA

The nurse is planning teaching for a client that focuses on Healthy People 2020 objectives for cardiovascular health. Which modifiable risk factors should the nurse include in this teaching?

Standard Text: Select all that apply.

1. Age
2. Gender
3. Obesity
4. Smoking
5. Hypertension

Correct Answer: 3, 4, 5

Rationale 1: Age is a nonmodifiable risk factor.

Rationale 2: Gender is a nonmodifiable risk factor.

Rationale 3: Many of the Healthy People 2020 objectives for cardiovascular health relate to modifiable risk factors. Modifiable risk factors include obesity.

Rationale 4: Many of the Healthy People 2020 objectives for cardiovascular health relate to modifiable risk factors. Modifiable risk factors include smoking.

Rationale 5: Many of the Healthy People 2020 objectives for cardiovascular health relate to modifiable risk factors. Modifiable risk factors include hypertension.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Identify major risk factors for the development of cardiovascular disease and related health-promotion objectives from Healthy People 2020.

MNL Learning Outcome: 4.10.3. Relate the factors that alter cardiac function to clinical manifestations and treatment.

Page Number: 1294