Cardiovascular System Quiz: Valvular Incompetence and Heart Failure Symptoms
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Questions and Answers

Which type of seizures results in abnormal neuronal activity in both hemispheres of the brain?

  • Automatism
  • Focal seizures
  • Generalized seizures (correct)
  • Partial seizures

What is the most sensitive indicator of altered brain functioning?

  • Intact cranial nerve functioning
  • That ability to perform complex mathematics
  • Altered level of consciousness (correct)
  • The lack of cerebrospinal fluid production

In a condition where a client experiences excruciating pain radiating along the side of their face induced by shaving and eating, what disorder does the nurse suspect?

  • Peripheral neuritis
  • Trigeminal neuralgia (correct)
  • Bell's palsy
  • Migraine

What is a potential cause of valvular incompetence, leading to peripheral vascular disease and chronic venous insufficiency?

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

Which of the following is a component of the pathophysiology of shock that leads to lactic acid accumulation in the body?

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

Which of the following is the earliest sign of decreased cardiac output?

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

What condition is indicated when the urethral meatus is located on the undersurface of the penis in a male infant?

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

Identify which clinical manifestation is a common finding of all forms of heart failure.

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

What is the most common initial symptom of a suspected malignant tumor of the bladder?

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

What is a goal when treating anemia?

<p>Improved tissue oxygenation (C)</p> Signup and view all the answers

What is a compensatory mechanism for individuals with anemia?

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

Which statement best describes the clinical manifestations of fluid volume overload?

<p>Dyspnea, bounding pulses, and crackles (A)</p> Signup and view all the answers

In the movement of electrolytes across the capillary wall, which process is primarily involved?

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

What is a common misconception regarding scabies?

<p>Scabies can survive outside the host for an extended period of time (A)</p> Signup and view all the answers

Which process is responsible for fluid distribution between the interstitial and intracellular compartments?

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

What is a possible cause of a pulmonary embolism (PE)?

<p>A venous blood clot from the lower extremities (C)</p> Signup and view all the answers

Which of the following characteristics is associated with malignant tumors?

<p>Invasion of local tissue and neighboring cells (B)</p> Signup and view all the answers

Regarding hemophilia A, what is the correct statement?

<p>Caused by a factor VIII deficiency (A)</p> Signup and view all the answers

Which statement about Syphilis is true?

<p>Can cause problems with the cardiovascular system (B)</p> Signup and view all the answers

In the TNM system, what does 'T2.N1.M0' diagnosis indicate?

<p>Locally invasive tumor with regional lymph node involvement; no metastasis (B)</p> Signup and view all the answers

What should the nurse assess for in a client with type 1 diabetes and end-stage renal disease?

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

Which of the following is NOT true about hemophilia A?

<p>It affects more females than males (C)</p> Signup and view all the answers

What assessment should the nurse complete for an otherwise healthy client with pneumonia?

<p>Determine the respiratory rate (C)</p> Signup and view all the answers

Which organs are primarily affected by poorly managed hypertension?

<p>The heart and kidneys (C)</p> Signup and view all the answers

What chemical mediators are released during an inflammatory response causing hives, pruritus, and swollen skin?

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

What would the nurse expect the stools to look like in a client admitted with a bleeding gastric ulcer?

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

In a client with a cervical spinal cord injury developing severe hypertension, bradycardia, head pain, and blurred vision, what is the likely cause?

<p>Developing autonomic dysreflexia (B)</p> Signup and view all the answers

Parkinson’s disease is characterized by which of the following clinical manifestations?

<p><strong>Dysphagia</strong>, <strong>constipation</strong>, and orthostatic hypotension (A)</p> Signup and view all the answers

Study Notes

Jugular Vein Distention and Heart Failure

  • Jugular vein distention is a potential sign of right-sided heart failure
  • It can also be a sign of peripheral vascular disease and chronic venous insufficiency

Causes of Valvular Incompetence

  • Tobacco use can lead to valvular incompetence
  • Excessive weight or obesity can lead to valvular incompetence
  • Pregnancy can lead to valvular incompetence
  • Prolonged standing can lead to valvular incompetence

Clinical Manifestations of Left-Sided Heart Failure

  • Jugular venous distention may occur
  • Peripheral edema may occur
  • Cough with frothy sputum may occur
  • Paroxysmal nocturnal dyspnea may occur
  • Crackles auscultated in the lungs may occur

Hypospadias

  • Defined as the urethral meatus located on the undersurface of the penis

Clinical Manifestations of Bladder Cancer

  • Painless hematuria is the most common initial symptom

Goals of Treating Anemia

  • Improved tissue oxygenation is a goal of treating anemia

Compensatory Mechanisms for Anemia

  • Tachycardia is a compensatory mechanism for anemia
  • Peripheral vasodilation is a compensatory mechanism for anemia

Types of Seizures

  • Generalized seizures result in abnormal neuronal activity in both hemispheres of the brain

Indicators of Altered Brain Functioning

  • Altered level of consciousness is the most sensitive indicator of altered brain functioning

Trigeminal Neuralgia

  • Characterized by excruciating pain that radiates along the side of the face, induced by shaving and eating

Pathophysiology of Shock

  • Tissue hypoxia causes lactic acid to accumulate in the body

Signs of Decreased Cardiac Output

  • Oliguria is the earliest sign of decreased cardiac output

Clinical Manifestations of Heart Failure

  • Jugular venous distension is a common finding of all forms of heart failure
  • Peripheral edema is a common finding of all forms of heart failure
  • Reduced cardiac output is a common finding of all forms of heart failure
  • Pulmonary edema is a common finding of all forms of heart failure

Signs and Symptoms of Myocardial Infarction

  • Chest pain that radiates to the arm, back, or jaw may occur
  • Chest pain that is not relieved by rest or nitroglycerin may occur

Assessing Clients with Pneumonia

  • Determining respiratory rate is an essential assessment

Organs Affected by Poorly Managed Hypertension

  • The heart and kidneys are primarily affected by poorly managed hypertension

Chemical Mediators in Inflammatory Response

  • Histamine and prostaglandins are released during an inflammatory response

Appearance of Stools with Bleeding Gastric Ulcer

  • Stools may appear coffee-ground-like
  • Stools may appear black and tarry

Autonomic Dysreflexia

  • Characterized by severe hypertension and bradycardia
  • Clients may report severe head pain and blurred vision

Parkinson's Disease

  • Characterized by little production of antidiuretic hormone

Signs and Symptoms of Aplastic Anemia

  • Pallor, dyspnea, recurrent infections, and bleeding may occur

Causes of Pulmonary Embolism

  • Venous blood clots from the lower extremities can cause pulmonary embolism

Fluid Distribution between Compartments

  • Occurs through filtration across permeable capillaries

Clinical Manifestations of Fluid Volume Overload

  • Dyspnea, bounding pulses, and crackles may occur

Movement of Electrolytes Across Capillary Wall

  • Occurs through diffusion

Scabies

  • Caused by mites that burrow under the skin in search of nutrients
  • Intense itching is a predominant symptom

Metastatic Cancer

  • Cells invade local tissue and overrun neighboring cells
  • Cells that are genetically unstable and have rapid growth

Hemophilia A

  • Caused by a factor VIII deficiency
  • Affects males more frequently

Syphilis

  • Caused by an anaerobic spirochete
  • Can cause problems with the cardiovascular system and aortic necrosis
  • Can cause damage to the central nervous system and cause blindness, paresis, and mental deterioration

TNM System for Cancer Staging

  • T2.N1.M0 indicates a locally invasive tumor with regional lymph node involvement and no metastasis

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Description

Test your knowledge of potential causes of valvular incompetence leading to peripheral vascular disease, chronic venous insufficiency, and clinical manifestations of left-sided heart failure. Select the correct options from the provided choices.

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