Nokea
The client is on a nitrate for angina. What is the most common side effect the nurse should monitor for?
- A. Headache
- B. Flushing
- C. Dizziness
- D. Nausea
Correct Answer: A
Rationale: The correct answer is A: Headache. Nitrate medications vasodilate blood vessels, including those in the brain, which can lead to headaches. It is the most common side effect and often subsides with continued use. Flushing is also a common side effect but not as prevalent as headaches. Dizziness and nausea are less common side effects associated with nitrates and are usually seen in a smaller percentage of patients compared to headaches. Monitoring for headaches is crucial to ensure patient comfort and compliance with the medication regimen.
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What type of medication is used to reduce high blood pressure by relaxing the blood vessels?
- A. Calcium channel blocker
- B. Beta-blocker
- C. ACE inhibitor
- D. Diuretic
Correct Answer: A
Rationale: The correct answer is A: Calcium channel blocker. These medications work by relaxing the blood vessels, leading to lower blood pressure. They inhibit the entry of calcium into the smooth muscle cells of the blood vessels, causing vasodilation. Beta-blockers (B) reduce heart rate and contractility. ACE inhibitors (C) block the conversion of angiotensin I to angiotensin II, leading to vasodilation. Diuretics (D) work by increasing urine output to lower blood volume and pressure. In this case, the mechanism of action aligns with the desired effect of relaxing blood vessels to reduce high blood pressure.
Which condition is characterized by the weakening and rupture of the walls of the alveoli in the lungs, reducing the surface area available for gas exchange?
- A. Emphysema
- B. Bronchitis
- C. Atelectasis
- D. Pulmonary fibrosis
Correct Answer: A
Rationale: Rationale: Emphysema is characterized by weakening and rupture of alveoli walls, reducing gas exchange surface area. This leads to shortness of breath and decreased oxygen levels. Bronchitis involves inflammation of bronchial tubes, not alveoli. Atelectasis is the collapse of lung tissue, not alveoli weakening. Pulmonary fibrosis is scarring of lung tissue, not alveoli rupture. Therefore, A is correct due to its direct association with alveoli damage.
Which term conceptualizes that the greater the myocardial fiber stretch, within physiologic limits, the more forceful the ventricular contraction, thereby increasing stroke volume?
- A. Frank-Starling's Law
- B. Automaticity
- C. Contractility
- D. Excitability
Correct Answer: A
Rationale: The correct answer is A: Frank-Starling's Law. This law states that within physiologic limits, the greater the myocardial fiber stretch, the more forceful the ventricular contraction, leading to increased stroke volume. This is because increased fiber stretch results in optimal overlap of actin and myosin filaments in the sarcomeres, enhancing contractile force.
Summary:
B: Automaticity refers to the ability of cardiac cells to spontaneously generate electrical impulses.
C: Contractility is the intrinsic ability of cardiac muscle to generate force.
D: Excitability refers to the ability of cardiac cells to respond to electrical stimuli.
Which condition is characterized by a chronic cough that produces mucus, often caused by long-term exposure to irritants?
- A. Chronic bronchitis
- B. Tuberculosis
- C. Asthma
- D. Sinusitis
Correct Answer: A
Rationale: The correct answer is A: Chronic bronchitis. Chronic bronchitis is characterized by a chronic cough that produces mucus due to long-term exposure to irritants, such as cigarette smoke or air pollution. This condition leads to inflammation and narrowing of the airways, resulting in excessive mucus production. Tuberculosis (B) is a bacterial infection causing symptoms like coughing up blood, while asthma (C) is characterized by wheezing and shortness of breath. Sinusitis (D) involves inflammation of the sinuses, leading to symptoms like facial pain and congestion.
Which test measures how well the lungs work by assessing the amount of air the lungs can hold and how quickly air can be exhaled?
- A. Spirometry
- B. Pulse oximetry
- C. Arterial blood gas (ABG)
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Spirometry. Spirometry measures lung function by evaluating lung capacity and airflow. It assesses vital parameters like Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1 second (FEV1), providing valuable insights into lung health. Pulse oximetry (B) measures oxygen saturation, not lung function. Arterial blood gas (C) evaluates blood oxygen and carbon dioxide levels, not lung capacity. Chest X-ray (D) shows lung structure, not lung function. Therefore, Spirometry is the most appropriate test for assessing lung function.