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What is a condition characterized by the presence of air or gas in the pleural space, leading to the collapse of the lung?
- A. Pneumothorax
- B. Pulmonary embolism
- C. Pleural effusion
- D. Atelectasis
Correct Answer: A
Rationale: The correct answer is A: Pneumothorax. Pneumothorax is the presence of air or gas in the pleural space, causing the lung to collapse. This occurs when air enters the pleural space due to trauma or a lung condition. Pulmonary embolism (B) is a blockage of the artery in the lung by a blood clot. Pleural effusion (C) is the accumulation of fluid in the pleural space. Atelectasis (D) is the collapse of a part of or entire lung due to blockage or pressure. Therefore, the correct answer is A as it specifically describes the condition of air in the pleural space causing lung collapse.
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Which term describes an abnormal heartbeat that can be either too fast or too slow?
- A. Arrhythmia
- B. Bradycardia
- C. Tachycardia
- D. Conductivity
Correct Answer: A
Rationale: The correct answer is A: Arrhythmia. An arrhythmia refers to an abnormal heartbeat rhythm, which can be too fast (tachycardia) or too slow (bradycardia). Arrhythmia encompasses both of these irregularities. Choice B, bradycardia, specifically refers to a slow heartbeat, while choice C, tachycardia, specifically refers to a fast heartbeat. Choice D, conductivity, is not directly related to the speed or rhythm of the heartbeat, making it an incorrect choice.
What structures hold up the AV valves and are anchored to the ventricular wall by the papillary muscles?
- A. Chordae tendineae
- B. Papillary muscles
- C. Semilunar valves
- D. Aortic valve
Correct Answer: A
Rationale: The correct answer is A: Chordae tendineae. These fibrous cords hold up the AV valves (mitral and tricuspid valves) and are anchored to the ventricular wall by the papillary muscles. The papillary muscles contract to prevent the AV valves from prolapsing into the atria during ventricular contraction. Choice B (Papillary muscles) is incorrect as they assist in the function but are not the structures that hold up the AV valves. Choices C (Semilunar valves) and D (Aortic valve) are incorrect as they are not directly involved in supporting the AV valves or anchored by the papillary muscles.
A client on an ACE inhibitor reports a persistent cough. What is the nurse's best response?
- A. Reassure the client that the cough is a common side effect and is usually not serious.
- B. Instruct the client to report the cough to the healthcare provider as it may require discontinuation of the medication.
- C. Advise the client to use a humidifier at night to relieve the cough.
- D. Suggest the client take an over-the-counter cough suppressant.
Correct Answer: B
Rationale: The correct answer is B because a persistent cough could indicate a serious side effect of ACE inhibitors, such as angioedema or bronchospasm. Instructing the client to report the cough to the healthcare provider is crucial to evaluate the need to discontinue the medication.
Choice A is incorrect as it downplays the potential seriousness of the cough. Choice C is incorrect because a humidifier may not address the underlying cause of the cough. Choice D is incorrect because using a cough suppressant without proper evaluation can mask symptoms of a serious side effect.
Which neurotransmitter released by the parasympathetic nervous system can decrease heart rate?
- A. Acetylcholine
- B. Norepinephrine
- C. Dopamine
- D. Serotonin
Correct Answer: A
Rationale: The correct answer is A: Acetylcholine. Acetylcholine is released by the parasympathetic nervous system and acts on the heart to decrease heart rate. It binds to muscarinic receptors in the heart, leading to a decrease in heart rate through inhibition of the SA node. Norepinephrine (B) is released by the sympathetic nervous system and increases heart rate. Dopamine (C) and Serotonin (D) are not directly involved in regulating heart rate through the parasympathetic pathway.
During a clinic appointment, a patient states, 'I came in because my calcium score was positive on my CT scan last week.' In which section of the patient assessment does the cardiac-vascular nurse document this finding?
- A. Past medical history.
- B. Personal/social history.
- C. Presenting problem.
- D. Review of symptoms.
Correct Answer: C
Rationale: The presenting problem section documents the reason for the current visit.