Nokea
In Mrs. Jones' discharge teaching with a permanent pacemaker, which point should be covered?
- A. She should not get pregnant because her heart would not be able to tolerate the increased workload
- B. She should not exercise regularly
- C. She can return to the degree of sexual activity that is desired and tolerable for her
- D. It is not necessary to make a return visit to her physician
Correct Answer: C
Rationale: Sexual activity can generally continue with appropriate precautions.
You may also like to solve these questions
Which term refers to a condition where the blood supply to part of the heart muscle is blocked, often referred to as a heart attack?
- A. Myocardial infarction
- B. Arrhythmia
- C. Stroke
- D. Aneurysm
Correct Answer: A
Rationale: The correct answer is A: Myocardial infarction. Myocardial infarction refers to the condition where the blood supply to part of the heart muscle is blocked, leading to tissue damage or cell death. This is commonly known as a heart attack. It is crucial to understand that arrhythmia (B), stroke (C), and aneurysm (D) are different medical conditions that do not specifically involve the blockage of blood flow to the heart muscle. Arrhythmia is an irregular heartbeat, stroke is the interruption of blood supply to the brain, and an aneurysm is a bulge in a blood vessel. Therefore, the correct term for a condition involving a blocked blood supply to the heart muscle is myocardial infarction.
If Mrs. Payer's pulmonary capillary wedge pressure (PCWP) is rising above normal values, this would indicate
- A. right ventricular failure
- B. hypovolemia
- C. left ventricular failure
- D. ventricular irritability
Correct Answer: C
Rationale: Elevated PCWP reflects left ventricular dysfunction.
The client is receiving intravenous dopamine. What is the most important nursing assessment?
- A. Monitor heart rate and rhythm
- B. Monitor blood pressure
- C. Monitor respiratory rate
- D. Monitor oxygen saturation
Correct Answer: A
Rationale: The correct answer is A: Monitor heart rate and rhythm. Dopamine is a medication that can affect the heart rate and rhythm. Monitoring these parameters is crucial to detect any potential adverse effects such as tachycardia or arrhythmias. Monitoring blood pressure is also important, but assessing heart rate and rhythm takes precedence due to the direct impact of dopamine on cardiac function. Respiratory rate and oxygen saturation are generally not directly affected by dopamine administration.
What is the accumulation of fatty deposits along the walls of arteries, leading to reduced blood flow?
- A. Atherosclerosis
- B. Arteriosclerosis
- C. Aneurysm
- D. Thrombosis
Correct Answer: A
Rationale: Atherosclerosis is the correct answer because it specifically refers to the accumulation of fatty deposits in arteries, causing reduced blood flow. Arteriosclerosis is a general term for thickening and hardening of arteries, not necessarily due to fatty deposits. Aneurysm is a localized, abnormal dilation of a blood vessel, not related to fatty deposits. Thrombosis is the formation of a blood clot within a blood vessel, not the accumulation of fatty deposits.
A nurse responds to a telemetry alarm and determines that the client is in which rhythm, where the rate is greater than 150, diastole is shortened, and the heart does not have sufficient time to fill?
- A. Sinus bradycardia
- B. Sinus tachycardia
- C. Supraventricular Tachycardia
- D. Atrial flutter
Correct Answer: C
Rationale: Supraventricular tachycardia involves rapid heart rates originating above the ventricles, shortening diastolic filling time.