SOLVED

Chapter 14 Question 1 A patient is diagnosed with atherosclerosis. How would the nurse explain the area injured by this inflammatory disorder? 1. “Your arteries have three layers that are all damaged by atherosclerosis.” 2. “Atherosclerosis damages the lining of your arteries.” 3. “Atherosclerosis is also called ‘hardening of the arteries’ because it damages the outside layer, making it hard for your artery to stretch.” 4. “The middle layer of the wall of your arteries is injured by atherosclerosis, which allows plaque to build up.” Question 2 A lipid panel has been drawn on a patient who has a family history of atherosclerosis. The nurse would explain that which value on the panel is most implicated in development of atherosclerosis? 1. High-density lipoprotein 2. Total cholesterol level 3. Triglyceride level 4. Low-density lipoprotein Question 3 The nurse is performing a cardiovascular assessment. Which patient findings would indicate significant risk factors for the development of atherosclerosis? 1. The patient is diabetic. 2. The patient tends to become anemic. 3. The patient’s mother and sister had myocardial infarctions before age 50. 4. The patient has high levels of low-density lipoproteins. 5. The patient is a 50-year-old male. Question 4 The nurse is assessing a patient whose body mass index is 28 kg/m2. Which nursing diagnosis is appropriate for this patient? 1. Imbalanced Nutrition: More than Body Requirements 2. Altered Health Maintenance 3. Imbalanced Nutrition: Less than Body Requirements. 4. Risk for Exercise Intolerance Question 5 A patient tells the nurse that he smokes two packs per day, works 10-hour work days most days of the week, eats out twice a day when working, and has no time to exercise. Which nursing diagnosis is appropriate for this patient? 1. Anxiety 2. Ineffective Coping 3. Altered Health Maintenance 4. Imbalanced Nutrition: More than Body Requirements Question 6 The nurse has completed teaching regarding cardiac risk factor reduction. Which patient statement would best indicate an understanding of the instructions? 1. “I am going to start walking my dog for 30 or 40 minutes every day.” 2. “I will substitute vegetables for some of the fruit I have been eating.” 3. “I will increase weight bearing activities.” 4. “I will avoid becoming dependent upon laxatives.” Question 7 The nurse is providing medication education for a patient who has been prescribed atorvastatin (Lipitor). Which information should be included? 1. This is one of the few medications that will not need to be monitored with periodic blood tests. 2. Contact your physician if you develop muscle pain. 3. It will take about 6 months before this medication will improve your low density lipoprotein level. 4. This medication helps your liver break down LDL. Question 8 A patient tells the nurse that he had chest pain into his left arm while moving a heavy trash can that lasted for about 10 seconds and stopped when he put the trash can down. This information would be included in which aspects of the PQRST assessment for chest pain? 1. P 2. Q 3. R 4. S 5. T Question 9 A patient tells the nurse that he has been experiencing a “pain in the chest” for the last 3 hours. What does this information suggest to the nurse? 1. The pain is of non-cardiac origin. 2. The patient is in the midst of an acute myocardial infarction. 3. The patient is going to have a myocardial infarction within hours. 4. The patient is having continuous angina. Question 10 A patient is diagnosed with Prinzmetal’s angina. Which assessment findings would the nurse attribute to this diagnosis? 1. The patient experiences lightheadedness that occurs at rest. 2. The patient has chest pain that lasts several hours. 3. The patient can predict the level of activity that will cause the pain. 4. The patient is awakened from sleep by chest pain. 5. The patient has chest pain that is not related to physical activity.