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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.
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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.
A patient with unstable angina should be provided with instructions to avoid which activity?
- A. Walking outside
- B. Eating red meat
- C. Swimming in warm pool
- D. Shoveling snow
Correct Answer: D
Rationale: The person with angina should be instructed to avoid exposure to cold, heavy exercise, eating heavy meals, and emotional stress.
After an influenza-like illness, the patient reports chills and small petechiae in his mouth and his legs. A heart murmur is detectable. These are characteristic signs of which disorder?
- A. congestive heart failure.
- B. heart block.
- C. aortic stenosis.
- D. infective endocarditis.
Correct Answer: D
Rationale: Collection of subjective data includes noting patient complaints of influenza-like symptoms with recurrent fever, undue fatigue, chest pain, and chills. Objective data may reveal the significant signs of petechiae in the conjunctiva and mouth. Both subjective data and objective data are indicative of infective endocarditis.
The nurse recognizes the echocardiogram report that shows an ejection factor of $42 \%$ as an indication of which situation?
- A. normal heart action.
- B. mild heart failure.
- C. moderate heart failure.
- D. severe heart failure.
Correct Answer: C
Rationale: An ejection fraction (cardiac output) of $42 \%$ indicates moderate heart failure.
The life support system that uses special techniques, ventilation equipment, and therapies for emergency situations is
Correct Answer: advanced cardiac life support (ACLS)
Rationale: ACLS is a life support system that uses special techniques, ventilation equipment, and therapies for emergency situations.