c8[1] - Chapter 8 Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder MULTIPLE CHOICE 1 The nurse is aware that the muscle layer

c8[1] - Chapter 8 Care of the Patient with a Cardiovascular...

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Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral Vascular DisorderMULTIPLE CHOICE1.The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s contraction, is the:a.endocardium.b.pericardium.c.mediastinum.d.myocardium.ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.DIF:Cognitive Level: ComprehensionREF:Page 308OBJ:2TOP:MyocardiumKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity2.The nurse clarifies that the master pacemaker of the heart is the:
The SA node is the master pacemaker of the heart.DIF:Cognitive Level: ApplicationREF:Page 308OBJ:10TOP:Acute myocardial infarctionKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological Integrity3.The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having:
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women having an MI.DIF:Cognitive Level: ApplicationREF:Page 334OBJ:16TOP:MIs in womenKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological Integrity4.The nurse identifies the “LUBB” sound of the “LUBB/DUBB” of the cardiac cycle as the sound of the:
The LUBB is the first sound of a low pitch heard when the AV valves close.DIF:Cognitive Level: ApplicationREF:Page 310OBJ:4TOP:Lubb soundKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity5.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: KnowledgeREF:Page 340, Box 8-3OBJ:9TOP:Classification of heart failureKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity

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