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sldar216 sldar216
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3 years ago
The home health nurse warns the patient who is taking warfarin (Coumadin) for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:
 
  a. cause severe episodes of diarrhea.
  b. cause a severe skin eruption if taken with Coumadin.
  c. increase the action of the Coumadin.
  d. cause the Coumadin to be less effective.

Question 2

What is the difference between primary and secondary hypertension?
 
  a. Secondary hypertension is caused by another disorder like renal disease.
  b. Secondary hypertension is related to hereditary factors.
  c. Secondary hypertension cannot be treated effectively.
  d. Secondary hypertension is no real threat to health.

Question 3

During a health interview by the home health nurse, which patient complaint suggests left-sided heart failure?
 
  a. I have to sleep in my recliner and I have this hacking cough.
  b. I have no appetite and I have lost 3 lb in the last week.
  c. I have to urinate every 2 hours, even during the night.
  d. I go barefoot most of the time because my feet are so hot.

Question 4

The patient, age 26, is hospitalized with cardiomyopathy. While obtaining a nursing history from her, the nurse recognizes that
 
  the increased incidence of cardiomyopathy in young
  adults who have minimal risk factors for cardiovascular disease is related to which factor(s)?
  a.
  Cocaine use
  b.
  Viral infections
  c.
  Vitamin B1 deficiencies
  d.
  Pregnancy

Question 5

The patient has been hospitalized for hypertensive episodes three times in the last months. While preparing the discharge teaching plan, the nurse assesses that he does not comply with his medication regimen. The nurse's immediate course of action would b
 
  a. reteach him about his medications.
  b. have a serious talk with him and his family about compliance.
  c. arrange for home visits after discharge.
  d. collect more information to identify his reasons for noncompliance.

Question 6

The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women because acute chest pain is not present. Women are frequently misdiagnosed as having:
 
  a. hepatitis A.
  b. indigestion.
  c. urinary infection.
  d. menopausal complications.

Question 7

The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
 
  a. AV valves closing.
  b. closure of the semilunar valves.
  c. contraction of the papillary muscles.
  d. contraction of the ventricles.
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Answer verified by a subject expert
mkidwai1mkidwai1
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Posts: 209
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3 years ago
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Answer to #1

ANS: C
Herbal remedies such as ginkgo, garlic, angelica, and red clover can increase (potentiate) the action of the Coumadin.

Answer to #2

ANS: A
Secondary hypertension is a consistently elevated blood pressure that is caused by another disorder, such as renal disease, diabetes, or Cushing syndrome.

Answer to #3

ANS: A
Left ventricular failure; the first is signs and symptoms of decreased cardiac output. The second is pulmonary congestion. Signs and symptoms of this condition include dyspnea, orthopnea, pulmonary crackles, hemoptysis, and cough.

Answer to #4

ANS: A
Cardiomyopathy caused by cocaine abuse is seen more frequently than ever before. Cocaine also causes high circulating levels of catecholamines, which may further damage myocardial cells, leading to ischemic or dilated cardiomyopathy. The cardiomyopathy produced is difficult to treat. Interventions deal mainly with the HF that ensues.

Answer to #5

ANS: D
Nursing interventions include measures to prevent disease progression and complications. Reteaching about medication will not identify the cause of noncompliance.

Answer to #6

ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women having an MI.

Answer to #7

ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
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