Nokea
The nurse and patient set a patient outcome that at the time of discharge after an MI the patient will be able to tolerate moderate-energy activities that are similar to which activity?
- A. Golfing
- B. Walking at 5 mph
- C. Cycling at 13 mph
- D. Mowing the lawn by hand
Correct Answer: A
Rationale: Moderate activities like golfing are achievable post-MI.
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The client on warfarin has an INR of 4.5. What is the most appropriate action by the nurse?
- A. Administer vitamin K.
- B. Hold the next dose of warfarin.
- C. Increase the dose of warfarin.
- D. Monitor the client's INR closely.
Correct Answer: A
Rationale: The correct answer is A: Administer vitamin K. When a client on warfarin has an INR of 4.5, it indicates over-anticoagulation, putting them at risk of bleeding. Vitamin K helps reverse the effects of warfarin by promoting clotting factors. Administering vitamin K will lower the INR back into the therapeutic range. Holding the next dose of warfarin (B) is not enough to rapidly reverse the effects. Increasing the dose of warfarin (C) would worsen the over-anticoagulation. Monitoring the INR closely (D) is important but not the immediate action needed for a high INR.
What is the procedure where a catheter is used to open a blocked or narrowed coronary artery, often involving the placement of a stent?
- A. Angioplasty
- B. Valve replacement
- C. Stent placement
- D. Coronary artery bypass graft (CABG)
Correct Answer: A
Rationale: The correct answer is A: Angioplasty. During angioplasty, a catheter with a balloon at its tip is used to open a blocked or narrowed coronary artery. The balloon is inflated to widen the artery and improve blood flow. Often, a stent is placed during the procedure to help keep the artery open. Option B, valve replacement, is incorrect as it involves replacing a faulty heart valve, not opening a blocked coronary artery. Option C, stent placement, is close but not specific to the procedure of using a catheter and balloon. Option D, CABG, is a surgical procedure where arteries or veins are used to bypass blocked coronary arteries, not using a catheter.
What is a condition where the heart's ability to pump blood is decreased, leading to fluid buildup in the lungs and other parts of the body?
- A. Heart failure
- B. Cardiomyopathy
- C. Pericarditis
- D. Myocarditis
Correct Answer: A
Rationale: The correct answer is A: Heart failure. Heart failure occurs when the heart's ability to pump blood is reduced, causing fluid buildup in the lungs and other body parts due to inadequate circulation. It is a condition characterized by the heart's inability to meet the body's demands. Cardiomyopathy (B) is a disease of the heart muscle, while pericarditis (C) is inflammation of the pericardium, and myocarditis (D) is inflammation of the heart muscle. These conditions can lead to heart failure but are not the direct cause of decreased pumping ability.
What is a blood clot that forms in a vein, often in the legs, and can cause serious complications if it travels to the lungs?
- A. Deep vein thrombosis (DVT)
- B. Pulmonary embolism
- C. Varicose veins
- D. Atherosclerosis
Correct Answer: A
Rationale: The correct answer is A: Deep vein thrombosis (DVT). DVT is a blood clot that forms in a deep vein, commonly in the legs. It can lead to serious complications if the clot dislodges and travels to the lungs, causing a pulmonary embolism. Varicose veins (C) are enlarged, twisted veins near the surface of the skin, not involving deep veins. Atherosclerosis (D) is the build-up of plaque in arteries, not related to vein clot formation. Pulmonary embolism (B) is a complication of DVT, not the initial clot formation in a vein.
Which valve prevents backflow of blood into the left ventricle from the aorta?
- A. Aortic valve
- B. Mitral valve
- C. Tricuspid valve
- D. Pulmonary valve
Correct Answer: A
Rationale: The correct answer is A: Aortic valve. The aortic valve is located between the left ventricle and the aorta, preventing the backflow of blood into the left ventricle during diastole. This is essential for maintaining proper blood flow direction and preventing regurgitation. The other choices, B: Mitral valve, C: Tricuspid valve, and D: Pulmonary valve, are all located in different areas of the heart and serve different functions. The mitral valve is between the left atrium and ventricle, the tricuspid valve is between the right atrium and ventricle, and the pulmonary valve is between the right ventricle and pulmonary artery. None of these valves are responsible for preventing backflow into the left ventricle from the aorta.