Nokea
The nurse is reinforcing instructions on a patient who will be taking digoxin. Which sign of digoxin toxicity should the nurse include?
- A. Ringing in the ears
- B. Bradycardia
- C. Headache
- D. Visual disturbance
- E. Hematuria
- F. Anorexia
Correct Answer: B,C,D,F
Rationale: Major signs of digoxin toxicity are bradycardia (HR <60), headache, visual disturbances, anorexia, as well as fatigue and arrhythmias.
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The nurse explains that the heart has the ability to contract in a rhythmic pattern that is called
Correct Answer: automaticity
Rationale: Automaticity is the special ability of the myocardium to contract in a rhythmic pattern.
The nurse reminds the patient that the American Heart Association recommends a lipid study how frequently?
- A. Every 2 years
- B. Every 2 to 3 years
- C. At least every 4 years
- D. Every 4 to 6 years
Correct Answer: D
Rationale: The American Heart Association recommends a lipid study every 4 to 6 years for all Americans over the age of 20.
A patient, age 72, was admitted to the medical unit with a diagnosis of angina pectoris. Which is a characteristic signs and symptoms of angina pectoris?
- A. substernal pain that radiates down the left arm.
- B. epigastric pain that radiates to the jaw.
- C. indigestion, nausea, and eructation.
- D. fatigue, shortness of breath, and dyspnea.
Correct Answer: A
Rationale: The pain often radiates down the left inner arm to the little finger and also upward to the shoulder and jaw.
The nurse outlines which as a condition that would disqualify a candidate for a heart transplant?
- A. Recent malignancy
- B. Dilated cardiomyopathy
- C. Peptic ulcer disease
- D. Diabetes type 2
- E. Severe obesity
- F. Inoperable coronary artery disease
Correct Answer: A,C,E
Rationale: Contraindications for candidacy for cardiac transplant include recent malignancy, active peptic ulcer disease, severe obesity, diabetes type 1 with end-organ damage. Dilated cardiomyopathy and inoperable coronary artery disease are indications for transplant.
The nurse points out which factor as a modifiable risk for coronary artery disease (CAD)?
- A. Diabetes mellitus
- B. Heredity
- C. Smoking
- D. Hypertension
- E. Hyperlipidemia
- F. Age
Correct Answer: A,C,D,E
Rationale: Modifiable risks for the development of CAD include smoking, hyperlipidemia, hypertension, diabetes mellitus, obesity, sedentary lifestyle, and stress.