Nokea
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.
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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 caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient makes which statement?
- A. I can ambulate in the hallway with this gadget on.'
- B. I always take off the telemetry device when I shower.'
- C. My EKG is being watched by one of the nurses in CCU on the home unit.'
- D. I am able to sleep just fine with this device on.'
Correct Answer: B
Rationale: Remote telemetry allows the patient to be on a separate unit, but be monitored in a central location. The patients can be ambulatory and can sleep with the monitor on. They should not remove the monitor to shower.
The nurse takes into consideration that age-related changes can affect the peripheral circulation because of which factor?
- A. sclerosed blood vessels.
- B. hypotension.
- C. inactivity.
- D. poor nutrition.
Correct Answer: A
Rationale: Aging causes sclerotic changes in the blood vessels that lead to decreased elasticity and narrowing of the vessel lumen.
What is the patient goal of the walking exercise program designed for the rehabilitation of a patient who had a myocardial infarction (MI) 3 weeks ago?
- A. Walk 2 miles in less than 60 minutes after 12 weeks.
- B. Jog mile in less than 30 minutes after 12 weeks.
- C. Fast walk' 1 mile in less than 20 minutes after 12 weeks.
- D. Walk 1 mile in 15 minutes without dyspnea after 12 weeks.
Correct Answer: A
Rationale: The goal of the 12-week walking program is that the patient can walk 2 miles in less than 60 minutes.
The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month. Which question is most important for the nurse to ask?
- A. Do you have a toothache?'
- B. Have you contacted your health care provider about your dental appointment?'
- C. Is your dentist board certified?'
- D. Do you think you should wait that long for your tooth extraction?'
Correct Answer: B
Rationale: Patients with endocarditis are put on a protocol of prophylactic antibiotics for any invasive procedure. The dentist and health care provider should be contacted before the extraction.