Exam (elaborations)
H&H Quiz 2 - Ch. 36 Questions With Complete Solutions
- Course
- Institution
H&H Quiz 2 - Ch. 36 Questions With Complete Solutions
[Show more]
Content preview
H&H Quiz 2 - Ch. 36 Questions With Complete Solutions23. Three days after an MI, the patient develops chest pain that
radiates to the back and left arm and is relieved by sitting in a
forward position. On auscultation of the patient's chest, what
would the nurse expect to hear?
a.
Distant heart sounds
b.
S3 or S4 heart sounds
c.
A pericardial friction rub
d.
A loud holosystolic apical murmur Correct Answer ANS: C
The patient's symptoms are consistent with the development of
pericarditis, a possible complication of MI. The other
assessments listed are not consistent with the description of the
patient's symptoms.
24. For which of the following patient conditions is the use of
garlic as a complementary therapy to help lower blood pressure
contraindicated?
a.
Pre-existing hypertension
b.
Diabetes
c.
Obesity
d.
Osteoarthritis Correct Answer ANS: B
,Garlic is a relatively safe herb but is contradicted in people with
bleeding disorders, GI infections, diabetes, and inflammation.
25. Which of the following is a mnemonic to assist the nurse in
obtaining thorough information from a patient who has chest
pain?
a.
ABCDEF
b.
PAIN
c.
PQRST
d.
AQSP Correct Answer ANS: C
PQRST can be used as a mnemonic to assist in obtaining
information for the patient who has chest pain as follows: P,
precipitating events; Q, quality of pain; R, radiation of pain; S,
severity of pain; and T, timing.
26. A patient has had an elevated temperature of 38.2°C for 3
days since experiencing an MI. What does the nurse understand
that this fever indicates?
a.
A normal response to the necrotic tissue of infarction
b.
A need for concern only if a leukocytosis is also present
c.
Beginning congestive heart failure from increased myocardial
oxygen demand
d.
, Developing pericarditis as a complication of myocardial
necrosis Correct Answer ANS: A
Fever and elevated white blood cell count are normal
occurrences after MI as a result of inflammation that occurs after
tissue necrosis.
27. When caring for a patient who has survived a sudden cardiac
death event and has no evidence of an AMI, what will the nurse
anticipate teaching the patient?
a.
That sudden cardiac death events rarely recur
b.
The purpose of outpatient Holter monitoring
c.
How to self-administer low-molecular weight heparin
d.
The need to limit activities after discharge to prevent future
events Correct Answer ANS: B
Holter monitoring is used to determine whether the patient is
experiencing dysrhythmias such as ventricular tachycardia
during normal daily activities.
28. During the initial stages of hospitalization for an MI, the
patient has been in denial, stating "I just had a little chest pain."
What is the most appropriate intervention for the nurse to plan
for the patient at this time?
a.
Have the patient's family encourage him to talk about his plans
for the future.
b.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now