Nokea
In developing a plan of care in relation to Mr. Robertson's diuretic therapy, it would be most important to
- A. Monitor vital signs frequently
- B. Give the Lasix with milk
- C. Observe for fluid overload
- D. Observe for signs of hypokalemia
Correct Answer: D
Rationale: Hypokalemia is a common side effect of diuretics.
You may also like to solve these questions
How is secondary hypertension differentiated from primary hypertension?
- A. Has a more gradual onset than primary hypertension
- B. Does not cause the target organ damage that occurs with primary hypertension
- C. Has a specific cause, such as renal disease, that often can be treated by medicine or surgery
- D. Is caused by age-related changes in BP regulatory mechanisms in people over 65 years of age
Correct Answer: C
Rationale: Secondary hypertension arises from identifiable causes.
What test measures the electrical activity of the heart over a 24- or 48-hour period?
- A. Holter monitor
- B. Electrocardiogram
- C. Stress test
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Holter monitor. This device records the electrical activity of the heart over an extended period, typically 24-48 hours, providing a more comprehensive assessment compared to a standard ECG (choice B). A stress test (choice C) evaluates the heart's response to physical exertion, not prolonged monitoring. A chest X-ray (choice D) is used to visualize the heart and lungs, but does not measure electrical activity. Therefore, the Holter monitor is the most appropriate test for continuous monitoring of heart activity over an extended period.
Which neurotransmitter is released by the sympathetic nervous system (SNS) to increase heart rate and the force of contraction of the heart?
- A. Norepinephrine
- B. Epinephrine
- C. Dopamine
- D. Acetylcholine
Correct Answer: A
Rationale: The correct answer is A: Norepinephrine. Norepinephrine is released by the sympathetic nervous system (SNS) to increase heart rate and the force of contraction. This neurotransmitter acts on beta-1 adrenergic receptors in the heart, leading to these effects. Epinephrine (choice B) is also released by the SNS and acts similarly to norepinephrine but is not as specific for the heart's beta-1 receptors. Dopamine (choice C) primarily acts as a precursor to norepinephrine and epinephrine and does not directly increase heart rate or force of contraction. Acetylcholine (choice D) is released by the parasympathetic nervous system and decreases heart rate and the force of contraction.
What is an infection that causes inflammation in the air sacs of one or both lungs, which may fill with fluid or pus?
- A. Pneumonia
- B. Tuberculosis
- C. Pleurisy
- D. Pulmonary edema
Correct Answer: A
Rationale: The correct answer is A: Pneumonia. Pneumonia is an infection that causes inflammation in the air sacs of the lungs, leading to fluid or pus accumulation. This is a common respiratory condition characterized by symptoms such as cough, fever, and difficulty breathing. Pleurisy (C) is inflammation of the pleura surrounding the lungs, not the air sacs. Tuberculosis (B) is a bacterial infection affecting the lungs but does not specifically mention inflammation and pus in the air sacs. Pulmonary edema (D) is the accumulation of fluid in the lungs but is not caused by an infection like pneumonia.
Which condition refers to the heart being unable to pump sufficient blood to meet the body's needs?
- A. Heart failure
- B. Myocardial infarction
- C. Cardiomyopathy
- D. Pericarditis
Correct Answer: A
Rationale: The correct answer is A: Heart failure. This condition occurs when the heart is unable to pump enough blood to meet the body's needs. It can result from various factors such as high blood pressure, heart muscle damage, or heart valve disorders. In contrast, B (Myocardial infarction) refers to a heart attack caused by a blockage in the coronary arteries, C (Cardiomyopathy) is a disease of the heart muscle, and D (Pericarditis) is inflammation of the pericardium surrounding the heart. These conditions may affect the heart's function but do not specifically indicate the inability to pump sufficient blood like heart failure does.