In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?
a. Family history, hypertension, stress, and age
b. Personality type, high cholesterol, diabetes, and smoking
c. Smoking, hypertension, obesity, diabetes, and high cholesterol
d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol
Question 2A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping.
I'll be sleeping great, and then I wake up and feel like I can't get my breath. The nurse's best response to this would be:
a.
When was your last electrocardiogram?
b.
It's probably because it's been so hot at night.
c.
Do you have any history of problems with your heart?
d.
Have you had a recent sinus infection or upper respiratory infection?
Question 3In assessing a 70-year-old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the split S2 heart sound. Which of these findings can be explained by expected hemodynamic changes rel
a. Increase in resting heart rate
b. Increase in systolic blood pressure
c. Decrease in diastolic blood pressure
d. Increase in diastolic blood pressure
Question 4A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg. In reviewing her previous examination, the nurse notes that her blood pressure in her second month was 124/80 mm Hg.
In evaluating this change, what does the nurse know to be true?
a.
This decline in blood pressure is the result of peripheral vasodilatation and is an expected change.
b.
Because of increased cardiac output, the blood pressure should be higher at this time.
c.
This change in blood pressure is not an expected finding because it means a decrease in cardiac output.
d.
This decline in blood pressure means a decrease in circulating blood volume, which is dangerous for the fetus.
Question 5The electrical stimulus of the cardiac cycle follows which sequence?
a. AV node SA node bundle of His
b. Bundle of His AV node SA node
c. SA node AV node bundle of His bundle branches
d. AV node SA node bundle of His bundle branches
Question 6The component of the conduction system referred to as the pacemaker of the heart is the:
a. Atrioventricular (AV) node.
b. Sinoatrial (SA) node.
c. Bundle of His.
d. Bundle branches.
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