Nokea
The client is given an alpha agonist. What might it be used for?
- A. For hemostasis
- B. To dilate the arteries
- C. To dilate the veins
- D. To decrease afterload
Correct Answer: A
Rationale: The correct answer is A: For hemostasis. Alpha agonists (such as epinephrine or norepinephrine) are used for hemostasis by causing vasoconstriction, which helps in stopping bleeding by constricting blood vessels.
Explanation for why other choices are incorrect:
B: To dilate the arteries - Alpha agonists actually cause vasoconstriction, not dilation of arteries.
C: To dilate the veins - Alpha agonists cause vasoconstriction, not dilation of veins.
D: To decrease afterload - While alpha agonists can increase blood pressure by vasoconstriction, they are not typically used specifically to decrease afterload.
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What is the procedure where a device is used to shock the heart back into a normal rhythm during a life-threatening arrhythmia?
- A. Defibrillation
- B. Cardioversion
- C. Echocardiogram
- D. Ablation
Correct Answer: A
Rationale: Defibrillation is the correct answer as it is the procedure where an electrical device delivers a shock to the heart to restore normal rhythm during a life-threatening arrhythmia. This shock helps reset the heart's electrical activity. Cardioversion (B) is similar but used for less severe arrhythmias. Echocardiogram (C) is an imaging test to assess heart function, not a treatment. Ablation (D) is a procedure to destroy abnormal heart tissue causing arrhythmias but not used for immediate life-threatening situations like defibrillation.
After the AV node, the electrical impulse is then transmitted into the _________, and into the _________.
- A. Purkinje fibers, ventricles
- B. Atria, ventricles
- C. Bundle of His, Purkinje fibers
- D. Ventricles, Purkinje fibers
Correct Answer: C
Rationale: The correct answer is C: Bundle of His, Purkinje fibers. After the AV node, the electrical impulse is transmitted to the Bundle of His, which then branches into the Purkinje fibers to spread the impulse throughout the ventricles. This sequence ensures coordinated and efficient contraction of the heart muscle. Choices A, B, and D are incorrect because they do not follow the physiological pathway of the electrical conduction system of the heart. The Purkinje fibers are responsible for transmitting the impulse to the ventricles, not the atria or vice versa as suggested in the other choices.
A 2400 mg sodium diet is prescribed for the patient with chronic heart failure. The nurse recognizes that additional teaching is necessary when the patient states
- A. I should limit my milk intake to 2 cups a day
- B. I can eat fresh fruits and vegetables without worrying about sodium levels
- C. I can eat most foods as long as I do not add salt when cooking or at the table
- D. I need to read the labels on prepared foods and medicines for their sodium content
Correct Answer: C
Rationale: All foods that are high in sodium should be eliminated in a 2400 mg sodium diet, in addition to the elimination of salt during cooking.
What is a condition where the lung's air sacs become inflamed and fill with fluid or pus, causing cough, fever, chills, and difficulty breathing?
- A. Pneumonia
- B. Tuberculosis
- C. Asthma
- D. Bronchitis
Correct Answer: A
Rationale: The correct answer is A: Pneumonia. Pneumonia is characterized by inflammation and fluid or pus accumulation in the lung's air sacs. This leads to symptoms such as cough, fever, chills, and difficulty breathing. Tuberculosis (B) is a bacterial infection affecting the lungs but does not always involve fluid accumulation. Asthma (C) is a chronic respiratory condition characterized by airway inflammation and bronchospasms, not fluid-filled air sacs. Bronchitis (D) is inflammation of the bronchial tubes, not the air sacs in the lungs.
The client on nitroglycerin complains of a headache. What is the most appropriate response by the nurse?
- A. Administer acetaminophen as prescribed for the headache.
- B. Hold the next dose of nitroglycerin.
- C. Discontinue the nitroglycerin immediately.
- D. Notify the healthcare provider immediately.
Correct Answer: A
Rationale: The correct response is to administer acetaminophen as prescribed for the headache. This is because headaches are a common side effect of nitroglycerin due to vasodilation. Acetaminophen can help relieve the headache without interfering with the therapeutic effects of nitroglycerin. Holding the next dose (B) is not appropriate as it can lead to inadequate treatment of the client's condition. Discontinuing nitroglycerin (C) abruptly can be dangerous as it may cause rebound hypertension. Notifying the healthcare provider (D) is not necessary unless the headache persists or worsens.