Nokea
If Mrs. Jones has a temporary pacemaker and the pacemaker intermittently fails to capture or sense, increasing the output temporarily restores function. Failure to capture or sense appropriately is most often due to
- A. Prior emergency defibrillation for ventricular failure
- B. Dislodgment of pacing electrode from right ventricle
- C. Occurrence of frequent ectopic beats from right ventricle
- D. Perforation to the right ventricle by pacing electrode
Correct Answer: B
Rationale: Dislodgment affects proper pacemaker function.
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What is a severe allergic reaction that can cause difficulty breathing and shock?
- A. Anaphylaxis
- B. Asthma attack
- C. Bronchospasm
- D. Hypersensitivity
Correct Answer: A
Rationale: The correct answer is A: Anaphylaxis. Anaphylaxis is a severe allergic reaction that can cause difficulty breathing and shock due to the body's extreme immune response to an allergen. It involves a systemic release of histamine and other chemicals leading to symptoms like swelling, hives, and a drop in blood pressure. Asthma attack (B) is a respiratory condition characterized by airway inflammation and narrowing, but it is not necessarily related to an allergic reaction. Bronchospasm (C) refers to the sudden constriction of the muscles lining the airways, which can occur in asthma or other respiratory conditions, but it is not specific to an allergic reaction. Hypersensitivity (D) is a general term for exaggerated immune responses, including allergies, but it does not specifically describe the severe and potentially life-threatening nature of anaphylaxis.
Which chronic condition is characterized by abnormally thickened heart muscle, making it harder for the heart to pump blood efficiently?
- A. Hypertrophic cardiomyopathy
- B. Dilated cardiomyopathy
- C. Restrictive cardiomyopathy
- D. Ventricular hypertrophy
Correct Answer: A
Rationale: Rationale:
1. Hypertrophic cardiomyopathy (HCM) is characterized by thickening of the heart muscle.
2. The thickening reduces the heart's ability to pump blood efficiently.
3. This leads to symptoms like shortness of breath, chest pain, and fatigue.
4. HCM is a genetic condition that affects the heart's structure.
5. Dilated cardiomyopathy involves the heart becoming enlarged, not thickened.
6. Restrictive cardiomyopathy refers to stiffening of the heart muscle.
7. Ventricular hypertrophy is a general term for thickening of the heart's chambers, not the muscle itself.
Summary:
A is correct as HCM matches the description provided. B, C, and D do not align with the specific characteristics of abnormally thickened heart muscle seen in HCM.
To detect and treat the most common complication of MI, what should the nurse do?
- A. Measure hourly urine output
- B. Auscultate the chest for crackles
- C. Use continuous cardiac monitoring
- D. Take vital signs every 2 hours for the first 8 hours
Correct Answer: C
Rationale: Continuous monitoring detects dysrhythmias.
The nurse is preparing to administer a beta blocker to a client with hypertension. What is the priority assessment?
- A. Check the client's heart rate.
- B. Check the client's blood pressure.
- C. Check the client's respiratory rate.
- D. Check the client's temperature.
Correct Answer: B
Rationale: The correct answer is B: Check the client's blood pressure. When administering a beta blocker to a client with hypertension, the priority assessment is to check the client's blood pressure. Beta blockers lower blood pressure, so monitoring it before administration helps ensure it is within the safe range. Checking the client's heart rate (choice A) is important but not the priority in this scenario. Respiratory rate (choice C) and temperature (choice D) are not directly related to the administration of beta blockers for hypertension.
Which condition involves the heart muscle becoming abnormally thickened, reducing its ability to pump blood?
- A. Hypertrophic cardiomyopathy
- B. Dilated cardiomyopathy
- C. Restrictive cardiomyopathy
- D. Ischemic cardiomyopathy
Correct Answer: A
Rationale: Step-by-step rationale:
1. Hypertrophic cardiomyopathy (A) is the correct answer.
2. In this condition, the heart muscle thickens, leading to decreased blood pumping ability.
3. This thickening can obstruct blood flow and increase the risk of abnormal heart rhythms.
4. Dilated cardiomyopathy (B) involves the heart enlarging and weakening, not thickening.
5. Restrictive cardiomyopathy (C) involves stiffening of the heart muscle, not thickening.
6. Ischemic cardiomyopathy (D) results from reduced blood flow to the heart, not thickening.