Nursing 102 Exam 4 quiz 1
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Questions and Answers

Which of the following is a common symptom of peripheral arterial disease?

  • Swelling and redness in the lower legs
  • Dull aching pain in the lower extremities
  • Irregular-bordered sores with yellow drainage
  • Cool, dry skin with lack of hair growth (correct)

What is the primary mechanism of action for angiotensin II receptor blockers (ARBs) in the treatment of hypertension?

  • Inhibition of angiotensin-converting enzyme (ACE) to reduce angiotensin II production
  • Activation of the sympathetic nervous system to increase heart rate and contractility
  • Blockade of the angiotensin II receptor to prevent its vasoconstrictive effects (correct)
  • Stimulation of the release of aldosterone to promote sodium and water retention

Which of the following lab tests is most useful for detecting myocardial injury in a patient with suspected acute coronary syndrome?

  • Brain natriuretic peptide (BNP)
  • High-sensitivity troponin (correct)
  • Myoglobin
  • Creatine kinase-MB (CK-MB)

Which of the following is a characteristic of the Mediterranean diet, which is recommended for cardiovascular health?

<p>Emphasis on the use of olive oil and inclusion of seafood/fish (D)</p> Signup and view all the answers

What is the primary mechanism of action for beta-blockers in the treatment of hypertension?

<p>Antagonism of the adrenergic beta receptors to reduce heart rate and contractility (C)</p> Signup and view all the answers

What is the recommended target range for LDL cholesterol in patients with cardiovascular disease or high risk for cardiovascular disease?

<p>LDL less than 70 mg/dL (B)</p> Signup and view all the answers

What is the main difference between atherosclerosis and arteriosclerosis?

<p>Atherosclerosis involves plaque buildup in vessels while arteriosclerosis is thickening and stiffness of arteries. (A)</p> Signup and view all the answers

How can hypertension increase the risk of stroke?

<p>By creating new blood clots that can block vessels. (A)</p> Signup and view all the answers

What symptom is associated with right-sided heart failure?

<p>Inability to properly pump blood to the body (B)</p> Signup and view all the answers

Which of the following is considered a modifiable risk factor for atherosclerosis?

<p>Nicotine use (B)</p> Signup and view all the answers

What may indicate an assessment of the vascular system includes intermittent claudication?

<p>&quot;Rest pain&quot; (D)</p> Signup and view all the answers

In which type of heart failure is pulmonary edema and crackles commonly seen?

<p>Left-sided heart failure (D)</p> Signup and view all the answers

What should be done if a patient's dorsalis pedis pulse is absent after surgery?

<p>Immediately call the provider/surgeon (A)</p> Signup and view all the answers

Which of the following statements about cholesterol medications (statins) is correct?

<p>They are typically taken around bedtime (C)</p> Signup and view all the answers

Which of the following is a risk factor for developing an aneurysm?

<p>Smoking (C)</p> Signup and view all the answers

What is the recommended treatment for an abdominal aortic aneurysm greater than 5.5 cm?

<p>Perform surgical repair to prevent rupture (A)</p> Signup and view all the answers

Which of the following patients is at the highest risk for developing deep vein thrombosis (DVT)?

<p>A patient with a pacemaker (A)</p> Signup and view all the answers

Which of the following foods should be avoided by patients taking anticoagulant medications like warfarin?

<p>Cranberries (B)</p> Signup and view all the answers

Which of the following is a characteristic of a 4+ pulse?

<p>It may be accompanied by bulging jugular veins (A)</p> Signup and view all the answers

Which lab test is used to confirm a myocardial infarction (heart attack)?

<p>Troponin I or T (A)</p> Signup and view all the answers

What is the preferred method for monitoring an anticoagulant like Coumadin?

<p>INR (International Normalized Ratio) (C)</p> Signup and view all the answers

What is the recommended ECG/EKG lead configuration for obtaining the most comprehensive cardiac data?

<p>12-lead ECG (A)</p> Signup and view all the answers

Which condition is characterized by unpredictable chest pain that requires medical intervention?

<p>Unstable angina (D)</p> Signup and view all the answers

What is the appropriate course of action for a patient presenting with a myocardial infarction (heart attack) within 30 minutes?

<p>Administer thrombolytic therapy (D)</p> Signup and view all the answers

What is the purpose of administering diuretics in the morning?

<p>To allow for uninterrupted sleep at night (B)</p> Signup and view all the answers

Which of the following is NOT a component of the UNLOAD FAST approach for treating congestive heart failure?

<p>Angiotensin II receptor blockers (ARBs) (C)</p> Signup and view all the answers

What is the purpose of checking troponin I/T levels?

<p>To diagnose myocardial infarction (heart attack) (B)</p> Signup and view all the answers

What is the significance of intermittent claudication?

<p>It is a sign of arteriole disease (D)</p> Signup and view all the answers

Which of the following is NOT a component of the Mediterranean diet?

<p>Low-fat dairy products (B)</p> Signup and view all the answers

What is the purpose of checking BNP (B-type natriuretic peptide) levels?

<p>To assess heart failure (B)</p> Signup and view all the answers

What is the treatment for stable angina?

<p>Nitroglycerin under the tongue and aspirin (A)</p> Signup and view all the answers

Why should beta-blockers not be prescribed to patients with asthma?

<p>The quick-acting inhalers won't work due to beta receptor blockade (D)</p> Signup and view all the answers

What does Furosemide do if potassium levels are already low?

<p>It drops potassium levels further (A)</p> Signup and view all the answers

What is the recommended intervention for an aneurysm over 5.5 in diameter?

<p>Immediate surgical intervention (D)</p> Signup and view all the answers

Why are spinach and cranberries mentioned in relation to Coumadin?

<p>They counteract the anticoagulant effects of Coumadin (D)</p> Signup and view all the answers

What is the role of Diuretics in the morning?

<p>To reduce nighttime urination (B)</p> Signup and view all the answers

When should patients call their doctor regarding weight changes?

<p>&quot;If excessive weight gain&quot; (B)</p> Signup and view all the answers

What is the primary cause of cellulitis?

<p>Bacterial infection (B)</p> Signup and view all the answers

Which type of stockings help return venous blood effectively?

<p>High tension TED stockings (D)</p> Signup and view all the answers

What is the first step when encountering a patient with ventricular tachycardia?

<p>Begin CPR immediately (D)</p> Signup and view all the answers

What is the primary difference between atherosclerosis and arteriosclerosis?

<p>Atherosclerosis is caused by plaque buildup whereas arteriosclerosis is due to thickening and stiffness of blood vessels. (D)</p> Signup and view all the answers

How does right-sided heart failure differ from left-sided heart failure?

<p>Right-sided heart failure involves difficulty pumping blood to the body, while left-sided heart failure affects oxygenation and lung function. (D)</p> Signup and view all the answers

What are the key modifiable risk factors contributing to atherosclerosis?

<p>Sedentary lifestyle, obesity, and nicotine use (A)</p> Signup and view all the answers

How does hypertension increase the risk of stroke in individuals with atherosclerosis?

<p>Hypertension promotes vessel stiffness, making it easier for clots or plaques to break off and cause strokes. (D)</p> Signup and view all the answers

What role does intermittent claudication play in assessing the vascular system?

<p>It suggests potential arterial blockages affecting blood flow. (B)</p> Signup and view all the answers

How do aneurysms, such as aortic dissection, contribute to cardiovascular risks?

<p>Aneurysms can result in sudden vessel ruptures and serious complications like dissection. (B)</p> Signup and view all the answers

Which lab test is used to monitor the risk of kidney damage in patients with muscle breakdown?

<p>Myoglobin (D)</p> Signup and view all the answers

Which of the following is NOT a recommended food in the Mediterranean diet?

<p>Red meat (A)</p> Signup and view all the answers

What is the primary reason for checking brain natriuretic peptide (BNP) levels?

<p>To assess heart failure risk (A)</p> Signup and view all the answers

What is the recommended mean arterial pressure (MAP) range for adequate kidney perfusion?

<p>65-100 mmHg (A)</p> Signup and view all the answers

Which of the following is a characteristic symptom of venous insufficiency?

<p>Lower leg edema (D)</p> Signup and view all the answers

What is the primary mechanism of action for ACE inhibitors in the treatment of hypertension?

<p>Inhibiting the conversion of angiotensin I to angiotensin II (A)</p> Signup and view all the answers

What is the main symptom that a patient with confirmed or suspected clot should be cautious about?

<p>Muscular pain (C)</p> Signup and view all the answers

Why is it advised to take cholesterol medications (usually ending in STATIN) at bedtime?

<p>To align with the liver's natural cholesterol production cycle (D)</p> Signup and view all the answers

What is the primary reason why limbs should not be raised above the heart in a patient with arterial disease?

<p>It may lead to increased strain on the heart and arteries (A)</p> Signup and view all the answers

What is the main criticism of blood thinners in relation to patients undergoing pharmacological management for Peripheral Arterial Disease (PAD)?

<p>They may lead to excessive bleeding (D)</p> Signup and view all the answers

Which medication is specifically highlighted for its role in inhibiting platelet aggregation and acting as a vasodilator in the management of Peripheral Arterial Disease (PAD)?

<p>Cilostazol (B)</p> Signup and view all the answers

Why should patients with factor V Leiden, prothrombin mutation, and other conditions be cautious about immobilization?

<p>Elevated likelihood of clot formation (A)</p> Signup and view all the answers

What may be indicated by abnormal heart sounds like gallop?

<p>Right-sided heart failure (C)</p> Signup and view all the answers

Which lab test is recommended for detecting heart failure?

<p>BNP (B)</p> Signup and view all the answers

What is the primary purpose of using thrombolytics in myocardial infarction (MI) treatment?

<p>Dissolve blood clots (C)</p> Signup and view all the answers

What is the significance of an inverted T/S wave on an ECG for a patient with unstable angina?

<p>Sign of unstable angina (D)</p> Signup and view all the answers

Why are thrombolytics recommended to be administered within 30 minutes of myocardial infarction presentation?

<p>To dissolve blood clots quickly (D)</p> Signup and view all the answers

What electrolyte imbalance is commonly associated with rapid weight gain in right-sided heart failure?

<p>Hyponatremia (A)</p> Signup and view all the answers

Which type of diuretic is known to cause potassium overload or hyperkalemia?

<p>Spironolactone (C)</p> Signup and view all the answers

What is the recommended action for a patient with an aneurysm over 5.5 in diameter?

<p>Immediate surgery intervention (A)</p> Signup and view all the answers

Why should beta-blockers not be prescribed to patients with asthma?

<p>They may make asthma inhalers less effective (C)</p> Signup and view all the answers

When should diuretics be administered to a patient?

<p>In the morning (B)</p> Signup and view all the answers

What is the recommended response if a patient presents with ventricular tachycardia and has no pulse?

<p>Begin CPR immediately (D)</p> Signup and view all the answers

What is the appropriate course of action if an abdominal aortic aneurysm is 5.0 in diameter?

<p>No intervention needed (B)</p> Signup and view all the answers

Which of the following foods can counteract the effects of Coumadin?

<p>Spinach and cranberries (B)</p> Signup and view all the answers

What is the most common cause of cellulitis?

<p>Staphylococcus Aureus (B)</p> Signup and view all the answers

Why are beta-blockers contraindicated in asthma patients?

<p>They interfere with asthma inhaler effectiveness. (A)</p> Signup and view all the answers

What is the consequence of giving Furosemide to a patient with already low potassium levels?

<p>Potassium levels will decrease further. (C)</p> Signup and view all the answers

Which of the following is NOT a component of the 'UNLOAD FAST' approach for treating congestive heart failure?

<p>Angiotensin II receptor blockers (ARBs) (B)</p> Signup and view all the answers

What is the primary mechanism of action for ACE inhibitors in the treatment of hypertension?

<p>Preventing the conversion of angiotensin I to angiotensin II (C)</p> Signup and view all the answers

Which of the following statements about angioedema, a potential side effect of ACE inhibitors, is correct?

<p>It can occur randomly, even if the patient has been taking ACE inhibitors for a long time without any side effects. (A)</p> Signup and view all the answers

Which of the following statements about the Mediterranean diet, recommended for cardiovascular health, is correct?

<p>It is a low-fat diet with a high intake of fruits, vegetables, and olive oil. (A)</p> Signup and view all the answers

What is the significance of intermittent claudication?

<p>It is a symptom of peripheral arterial disease. (C)</p> Signup and view all the answers

Which of the following lab tests is most useful for detecting myocardial injury in a patient with suspected acute coronary syndrome?

<p>Troponin I/T (A)</p> Signup and view all the answers

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