Coronary Heart Disease and Risk Factors

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Questions and Answers

What could be the reason behind the presence of warm skin and brown pigmentation around an adult client's ankles?

  • Venous insufficiency (correct)
  • Arterial occlusive disease
  • Varicose veins
  • Ankle edema

What symptom would suggest that a client may be experiencing intermittent claudication?

  • Tingling sensation in the legs
  • Swollen ankles
  • Leg pain or cramping during exercise (correct)
  • Chest pain

What is the recommended action to reduce risk factors for peripheral vascular disease?

  • Resting frequently
  • Getting regular exercise (correct)
  • Drinking large quantities of milk
  • Eating a high-protein diet

What is the correct way to use a Doppler ultrasound probe to detect blood flow in the femoral artery?

<p>Place the tip of the probe in a 30-degree angle to the artery (C)</p> Signup and view all the answers

What should the nurse assess in a client who had a mastectomy 2 years ago?

<p>Lymph node status (D)</p> Signup and view all the answers

What is the term for a condition characterized by a decrease in blood flow to the legs?

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

What is a risk factor for coronary heart disease?

<p>High serum level of low-density lipoproteins (A)</p> Signup and view all the answers

What should the nurse include in the teaching plan about coronary heart disease?

<p>Estrogen replacement therapy in postmenopausal women decreases the risk of heart attack (A)</p> Signup and view all the answers

What may the nurse anticipate when assessing the cardiovascular system of an adult client with emphysema?

<p>Difficulty palpating the apical pulse (D)</p> Signup and view all the answers

What should the nurse do when preparing to auscultate a female adult client's carotid arteries?

<p>Place the diaphragm of the stethoscope over the artery (A)</p> Signup and view all the answers

What is a potential challenge when assessing the cardiovascular system of an adult client with emphysema?

<p>Difficulty assessing the breath sounds (A)</p> Signup and view all the answers

Why should the nurse palpate the arteries before auscultation?

<p>To locate the artery and ensure accurate assessment (B)</p> Signup and view all the answers

What is the significance of an S3 heart sound detected in an adolescent client?

<p>It is a normal finding in adolescents and requires no further action (A)</p> Signup and view all the answers

What does an opening snap heard during diastole indicate?

<p>Mitral valve stenosis (D)</p> Signup and view all the answers

What is a characteristic of sinus arrhythmia?

<p>The heart rate speeds up and slows down during a cycle (A)</p> Signup and view all the answers

What is the characteristic of the fourth heart sound, S4?

<p>A low-frequency sound best heard with the bell of the stethoscope (D)</p> Signup and view all the answers

What is the priority consideration for the nurse when caring for an adult female client with a BMI of 38.7?

<p>Assessing the client for signs and symptoms of pulmonary disease (B)</p> Signup and view all the answers

What is the nurse's role in assessing an adult client with a heart condition?

<p>To assess the client for signs and symptoms of pulmonary disease (A)</p> Signup and view all the answers

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