Lewis\\\'s Medical-Surgical Nursing Assessment And Ma
Lewis\\\'s Medical-Surgical Nursing Assessment and Ma
Exam (elaborations)
LITTLE AND FALACE-S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT 9TH
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Lewis\\\'s Medical-Surgical Nursing Assessment and Ma
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Lewis\\\'s Medical-Surgical Nursing Assessment And Ma
Elective dental care should be deferred for patients with severe, uncontrolled hypertension,
meaning that the blood pressure is greater than or equal to
mm Hg.
a. 200/140
b.
180/140
c. 180/110
d.
160/110
ANS: C
Elective dental care should be deferred for patients with severe...
LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
1. Question: Elective dental care should be deferred for patients with
severe, uncontrolled hypertension, meaning that the blood pressure is
greater than or equal to what mm Hg?
o Answer: c. 180/110
2. Question: Which cardiac condition currently requires antibiotic
prophylaxis according to the American Heart Association?
o Answer: b. Prosthetic heart valve
3. Question: A consequence of chronic hepatitis (B or C) is decreased
ability of the body to do which of the following?
o Answer: c. metabolize
4. Question: What symptom is most consistent with an allergy?
o Answer: b. Itching
5. Question: What is true about a patient with a history of tuberculosis?
o Answer: c. Patients with acquired immunodeficiency syndrome (AIDS) have a
high incidence of tuberculosis.
6. Question: Why should vasoconstrictors be avoided in patients who are
cocaine or methamphetamine users?
o Answer: b. severe hypertension
7. Question: A serious perioperative cardiovascular event risk increases in
patients unable to meet what MET demand?
o Answer: a. 4
8. Question: What alteration in fingernails is associated with cirrhosis?
o Answer: c. White discoloration
9. Question: When placing a blood pressure cuff, when should it be inflated
until?
o Answer: b. the radial pulse disappears and then inflated an additional 20 to 30
mm Hg.
10.Question: What does ASA III classify a patient with?
o Answer: b. Patient’s disease has significant impact on daily activity.
Infective Endocarditis
11. Question: Which statement is true about infective endocarditis?
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
o Answer: d. Accumulating evidence questions the validity of antibiotic
prophylaxis.
12. Question: What is the most common underlying condition predisposing
to infective endocarditis?
o Answer: c. Mitral valve prolapse
13. Question: What is the leading cause of death due to infective
endocarditis?
o Answer: b. heart failure
14. Question: How soon do symptoms of infective endocarditis typically
onset after the presumed initiating bacteremia?
o Answer: b. 2 weeks
15. Question: Where are Janeway lesions typically located?
o Answer: b. Palms of the hands and soles of the feet
16. Question: What is true regarding the magnitude of bacteremia needed to
cause infective endocarditis?
o Answer: b. Cases of IE caused by oral bacteria probably result from frequent
exposure to low inocula.
17. Question: Is visible bleeding during a dental procedure a reliable
predictor of bacteremia?
o Answer: b. Both statements are false.
18. Question: What conclusion have investigators drawn about the efficacy
of antibiotic prophylaxis for IE?
o Answer: d. Investigators have concluded that dental or other procedures
probably only caused a small fraction of cases of IE.
19. Question: Before dental treatment, which cardiac condition requires
antibiotic prophylaxis?
o Answer: c. Prosthetic cardiac valve
20. Question: What antibiotic is suitable for a patient already taking
penicillin requiring premedication before dental treatment?
o Answer: b. Clindamycin
Hypertension
21. Question: What are the diastolic pressure ranges for prehypertension?
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
o Answer: a. 80 to 89
22.Question: Who can diagnose hypertension and decide on treatment?
o Answer: a. Physician
23.Question: Which group is most likely to have hypertension according to
the prevalence in America?
o Answer: d. Its prevalence is similar among men and women.
24. Question: Approximately what percentage of all blood pressure-
related deaths due to coronary heart disease occurs in prehypertensive
persons?
o Answer: c. 15
25. Question: What is the first-line drug category for treating
hypertension when lifestyle changes are ineffective?
o Answer: b. Diuretics, thiazide diuretics, and others.
26. Question: When should elective dental care be deferred?
o Answer: d. 180/110 mm Hg or greater
27.Question: Which method is recommended for stress management in
hypertensive dental patients?
o Answer: c. Nitrous oxide plus oxygen for inhalation sedation.
28. Question: Why should chair position changes be avoided during
dental treatment for hypertensive patients?
o Answer: b. They tend to produce orthostatic hypotension as a side effect.
29. Question: How many cartridges of 2% lidocaine with 1:100,000
epinephrine is considered safe for hypertensive patients?
o Answer: a. 2
30. Question: What happens if a dental anesthetic containing a
vasoconstrictor is given to a patient on nonselective β-blockers?
o Answer: b. Hypertension
Continued Medical Management and Procedures
31. Question: For what blood pressure reading should a dental patient be
referred for evaluation within one week?
o Answer: d. 180/110
, LITTLE AND FALACE'S DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
9TH EDITION TEST BANK ISBN-978-0323443555
32.Question: What impact does poor oral hygiene have on bacteremia
levels after dental procedures?
o Answer: b. Quality of oral hygiene has an appreciable effect.
33. Question: When assessing a patient with a history of heart
conditions, what specific symptoms should dentists look for?
o Answer: Chest pain, shortness of breath, and fatigue.
34. Question: What adjunctive treatment can manage anxiety for a
patient undergoing dental procedures?
o Answer: Short-acting benzodiazepines.
35. Question: Which dietary changes are recommended to help
manage hypertension?
o Answer: Reducing salt intake and increasing fruit and vegetable consumption.
36. Question: When taking blood pressure, what is the importance of
patient positioning?
o Answer: Proper positioning helps ensure an accurate reading.
37.Question: In dental treatment, what is a recommended approach for
patients with a history of myocardial infarction?
o Answer: Consult their physician before treatment.
38. Question: What should be done for patients undergoing dental
procedures with a history of heart valve replacement?
o Answer: Provide antibiotic prophylaxis as per AHA guidelines.
39. Question: Which condition requires you to review a patient’s
medical history in detail before providing dental care?
o Answer: Infective endocarditis
40. Question: How has the prevalence of hypertension in the U.S.
population changed over recent decades?
o Answer: It has been steadily increasing.
Additional Scenarios and Considerations
41. Question: Which medications can affect the metabolism of local
anesthetics?
o Answer: Anticoagulants and certain antihypertensives.
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