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Patho Test Bank exam 2 with correct answers.

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Patho Test Bank exam 2 with correct answers.Patho Test Bank exam 2 with correct answers.vPatho Test Bank exam 2 with correct answers.Patho Test Bank exam 2 with correct answers.

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Uploaded on September 12, 2024
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Type Exam (elaborations)
Contains Questions & answers

patho test bank exam 2 with correct answers

Institution Patho
Course Patho

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u Patho Test Bank exam 2 with correct
u u u u u u

u answers

In uwhich uof uthe ufollowing upatient usituations uwould ua uphysician ube umost ujustified uin
upreliminarily uruling uout upericarditis uas ua ucontributing upathology uto uthe upatient's uhealth
uproblems? u- uCorrect u uAnswer u- uA u77-year-old uwith udiminished uS3 uand uS4 uheart utones,
uirregular uheart urate uand uhistory uof ua-fib

Following ucardiac usurgery, uthe unurse ususpects uthe upatient umay ube udeveloping ua ucardiac
utamponade. uWhich uof uthe ufollowing uclinical umanifestations uwould usupport uthis udiagnosis? u-
uCorrect u uAnswer u- uMuffled uheart utones, unarrowed upulse upressure uand ulow uBP u84/60

Cardiac utamponade uresults uin uincreased uintracardiac upressure, uprogressive ulimitation uof
uventricular udiastolic ufilling uand udecrease uSV uand uCO

Which uof uthe ufollowing uphenomena uwould ube umost ulikely uto uaccompany uincreased umyocardial
uoxygen udemand? u- uCorrect u uAnswer u- uIncreased uaortic upressure

Results uin urise uin uafterload, uwall utension, uultimately uMVO2

Which uof uthe ufollowing uteaching upoints uwould ube umost uappropriate ufor ua ugroup uof uolder
uadults uwho uare uconcerned uabout utheir ucardiac uhealth? u- uCorrect u uAnswer u- uThe uplaque uthat
ubuilds uup uin uyour uheart uvessels uobstructs uthe unormal uflow uof ublood uand ucan ueven ubreak
uloose uand ulodge uitself uin ua uvessel

Stable uplaque uis uassociated uwith uobstruction uof ublood uflow, uwhile uunstable uplaque umay
udislodge uand uresult uin uthrombus uformation

Four upatients uwere uadmitted uto uthe uemergency udepartment uwith usevere uchest upain. uAll uwere
ugiven upreliminary utreatment uwith uaspirin, umorphine, uoxygen, uand unitrates uand uwere umonitored

,uby uECG. uWhich upatient umost ulikely uexperienced umyocardial uinfarction? u- uCorrect u uAnswer u- uAn
u80-year-old uwoman uwhose upain ustarted uat u6am ushortly uafter uawakening uand uwas unot urelieved
uby unitrates uor urest; uthe uECG ushowed uSt-segment uelevation uwith uinverted uT uwaves uand
uabnormal uQ uwaves; ulevels uof ucardiac umarkers usubsequently urose

The uchest upain uof uMI udoes unot urespond uto urest uor unitrates

Which uof uthe ufollowing ustatements uprovides ublood uwork uresults uand urationale uthat uwould ube
umost uclosely uassociated uwith uacute ucoronary usyndrome? u- uCorrect u uAnswer u- uElevated
ucreatinine ukinase uand utroponin, uboth uof uwhich unormally uexist uintracellularly urather uthan uin
ucirculation

Myocardial unecrosis ureleases ucreatinine ukinase uand utroponin uthat unormally uexist uintracellularly

A unumber uof uclients uhave upresented uto uthe uemergency udepartment uin uthe ulast u32 uhours uwith
ucomplaints uthat upreliminarily uindicative uof uMI, uwhich uof uthe ufollowing uclients uis uleast ulikely uto
uhave ua uSTEMI? u- uCorrect u uAnswer u- uA u71-year-old uman uwho uhas umost uskin, ufever uand uchest
upain uthat uis uexcruciating uwhen uhe umoves ubut urelieved uwhen uat urest

STEMI upain unot unormally urelieved uby urest, unor uwould ufever ube ua ucommon usymptom

Following ua uSTEMI, uthe unurse ushould ube uassessing uthe upt ufor uwhich uof uthe ufollowing
ucomplications? u- uCorrect u uAnswer u- uLarge uamount uof upink, ufrothy usputum uand unew uonset uof
umurmur

A u78-year-old uman uhas ubeen uexperiencing unocturnal uchest upain uover uthe ulast useveral umonths,
uand uhis ufamily uphysician udiagnosed uhim uwith uvariant uangina. uWhich uof uthe ufollowing uteaching
upoints ushould uthe uphysician uinclude uin uhis uexplanation uof uthe uman's unew udiagnosis? u- uCorrect u
uAnswer u- uI'm ugoing uto ustart uyou uon ua ulow-dose uaspirin, uand uit uwill uhelp ugreatly uif uyou ucan
ulose uweight uand ukeep uexercising.

,An uIV udrug uabuser uwalks uinto uthe uED utelling uthe unurse uthat, u"he uis usick". uHe ulooks ufeverish
uwith uflushed, umoist uskin; udehydrated uwith udry ulips/mucous umembranes; uand ufatigued. uThe
uassessment ureveals ua uloud umurmur. uAn uecho uwas uordered uthat ushows ularge uvegetation
ugrowing uon uhis umitral uvalve. uThe upatient uis uadmitted uto uthe uICU. uThe unurse uwill ube uassessing
uthis upatient ufor uwhich upossible ulife-threatening ucomplications? u- uCorrect u uAnswer u- uSystemic
uemboli, uespecially uto uthe ubrain

Systemic uemboli udevelop uand ubreak uoff uthe umitral uvalve uand utravel uinto uthe uvascular usystem

A u34-year-old uman uwho uis uan uIV udrug uuser uhas upresented uto uthe uED uwith umalaise, uabdominal
upain u& ulethargy. uThe uhealth ucare uteam uwants uto urule uout uendocarditis uas ua udiagnosis. uStaff uof
uthe udepartment uwould umost urealistically uanticipate uwhich uof uthe ufollowing usets uof udiagnostics?
u- uCorrect u uAnswer u- uEcho, ublood ucx uand utemperature.

Echo uhelps uvisualize uthe uheart, uwhile ublood ucx uwould uconfirm upresence uor uabsence uof
umicroorganisms uin uthe ucirculation, uand utemperature uwould ugauge upresence uof uinfection.

A u66-year-old uobese uman uwith udiagnoses uof uischemic uheart udisease uhas ubeen udiagnosed uwith
uheart ufailure uthat uhis ucare uteam uhas ucharacterized uas uattributable uto usystolic udysfunction.
uWhich uof uthe ufollowing uassessment ufindings uis uinconsistent uwith uhis udiagnosis? u- uCorrect u
uAnswer u- uVentricular udilation uand uwall utension uare usignificantly ulower uthan unormal.

A unurse uwill ube uproviding ucare ufor ua ufemale upatient uwho uhas udiagnosis uof uheart ufailure uthat
uhas ubeen ucharacterized uas ubeing uprimarily uright usided. uWhich uof uthe ufollowing ustatements ubest
udescribes uthe upresentation uthat uthe unurse ushould uanticipate? uThe uclient u- uCorrect u uAnswer u-
uhas upitting uedema uto uthe uankles uand ufeet ubilaterally, udecreased uactivity utolerance, uand
uoccasional uright uupper uquadrant upain.

The unurse uworking uin uthe uICU uknows uthat uchronic uelevation uof uleft uventricular uend-diastolic
upressure uwill uresult uin uthe upatient udisplaying uwhich uof uthe ufollowing uclinical umanifestations? u-
uCorrect u uAnswer u- uDyspnea uand ucrackles uin uBL ulung ubases

, Although uit umay upreserve uthe uresting ucardiac uoutput, uthe uresulting uchronic uelevation uof uleft
uventricular uend-diastolic upressure uis utransmitted uto uthe uatria uand uthe upulmonary ucirculation,
ucausing upulmonary ucongestion.

A u77-year-old upatient uwith ua uhistory uof ucoronary uartery udisease uand uheart ufailure uhas uarrived
uin uthe uER uwith ua urapid uheart urate uand ufeeling uof u"impending udoom". uBased uon
upathophysiologic uprinciples, uthe unurse uknows uthe urapid uheart urate ucould u- uCorrect u uAnswer u-
ube ua uresult uof ucatecholamines ureleased ufrom uSNS uthat ucould uincrease uthe umyocardial uoxygen
udemand

A uincrease uin usympathetic uactivity uby ustimulation uof uthe uB-adrenergic ureceptors uof uthe uheart
uleads uto utachycardia, uvasoconstriction, uand uarrhythmia.

A unurse ueducator uin ua ugeriatric umedicine uunit uof ua uhospital uis uteaching ua ugroup uof unew
ugraduates uspecific uassessment ucriteria urelated uto uheart ufailure. uWhich uof uthe ufollowing ucriteria
ushould uthe unurses uprioritize uin utheir upractice? u- uCorrect u uAnswer u- uMeasurement uof uurine
uoutput uand umental ustatus uassessment

Both uincreased uand udecreased uurine uoutput ucan ube umarkers uof uheart ufailure, uas ucan uchanges
uin umental ustatus unot uattributable uto uother ufactors

Mr. uV uhas ubeen uadmitted ufor uexacerbation uof uhis uchronic uheart ufailure u(HF). uWhen uthe unurse
uwalks uinto uthe uroom, uhe uis usitting uon uthe uedge uof uthe ubed, ugasping ufor uair, uand uhis ulips uare
udusty ublue. uVital usigns ureveal uheart urate uof u112, urespiratory urate uof u36, uand upulse uoximeter
ureading uof u81%. uHe ustarts ucoughing uup ufrothy upink usputum. uThe upriority uintervention uis uto u-
uCorrect u uAnswer u- ucall ufor uemergency uassistance uutilizing uhospital uprotocol

Mr. uV uis uexperiencing uacute upulmonary uedema

A ufemale uolder uadult uclient uhas upresented uwith ua unew uonset uof ushortness uof ubreath, uand uthe
uclient's uphysician uhas uordered umeasurement uof uher ubrain unatriuretic upeptide u(BNP) ulevels ualong
uwith uother udiagnostic utests. uWhat uis uthe umost uaccurate urationale ufor uthe uphysician's uchoice uof
ubloodwork? u- uCorrect u uAnswer u- uBNP uis ureleased uas ua ucompensatory umechanism uduring uheart

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