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 2What 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 3During 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 4The 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 5The 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 6The 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 7The 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.