Nokea
What is a condition where the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients?
- A. Stroke
- B. Heart attack
- C. Pulmonary embolism
- D. Pneumonia
Correct Answer: A
Rationale: The correct answer is A: Stroke. A stroke occurs when the blood supply to part of the brain is interrupted or reduced, leading to brain tissue not receiving enough oxygen and nutrients. This can result in permanent brain damage or even death.
Choice B: Heart attack, involves a blockage in the blood vessels supplying the heart muscle, not the brain.
Choice C: Pulmonary embolism, is a blockage in the arteries of the lungs, not the brain.
Choice D: Pneumonia, is an infection in the lungs and does not directly involve the brain's blood supply.
In summary, a stroke specifically affects the brain's blood supply and can lead to serious consequences, unlike the other conditions mentioned.
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Which of the following is a chronic respiratory disease characterized by the irreversible obstruction of airflow?
- A. Chronic obstructive pulmonary disease (COPD)
- B. Asthma
- C. Pulmonary edema
- D. Bronchiectasis
Correct Answer: A
Rationale: The correct answer is A: Chronic obstructive pulmonary disease (COPD). COPD is a chronic respiratory disease characterized by irreversible airflow obstruction due to conditions such as emphysema and chronic bronchitis. This is because COPD causes damage to the airways and alveoli, leading to decreased airflow. Asthma (B) is a chronic inflammatory disease with reversible airflow obstruction. Pulmonary edema (C) is caused by fluid accumulation in the lungs, leading to difficulty in breathing but is not characterized by irreversible airflow obstruction. Bronchiectasis (D) involves the widening and scarring of the airways, leading to recurrent infections, but it is not specifically characterized by irreversible airflow obstruction.
Which order should the nurse question?
- A. The addition of a loop diuretic with digoxin.
- B. The addition of a beta blocker with digoxin.
- C. A digoxin dose of 0.125 mg per day.
- D. The addition of an ACE inhibitor with digoxin.
Correct Answer: B
Rationale: The correct answer is B: The addition of a beta blocker with digoxin. When combined, beta blockers can enhance the effects of digoxin, leading to an increased risk of bradycardia and heart block. This combination can also exacerbate digoxin toxicity. Therefore, the nurse should question the addition of a beta blocker with digoxin to prevent potential adverse effects.
Incorrect choices:
A: The addition of a loop diuretic with digoxin - Loop diuretics may lead to hypokalemia, which can increase the risk of digoxin toxicity.
C: A digoxin dose of 0.125 mg per day - This is within the recommended dose range for digoxin and does not pose a significant concern.
D: The addition of an ACE inhibitor with digoxin - ACE inhibitors are commonly used in combination with digoxin and do not typically interact negatively.
Which heart chamber ejects blood into the systemic arterial circulation via the aorta?
- A. Right atrium
- B. Left atrium
- C. Right ventricle
- D. Left ventricle
Correct Answer: D
Rationale: The correct answer is D, Left ventricle. The left ventricle is responsible for ejecting oxygenated blood into the systemic arterial circulation via the aorta. It receives oxygen-rich blood from the left atrium and pumps it out through the aorta to the rest of the body.
Rationale:
1. The left ventricle receives blood from the left atrium, which has already been oxygenated in the lungs.
2. It is the chamber that generates the highest pressure to propel blood into the systemic circulation.
3. The aorta is the main artery that carries oxygenated blood away from the heart to the body.
4. The right atrium and right ventricle are involved in pumping deoxygenated blood to the lungs for oxygenation, not into the systemic circulation.
5. The left atrium receives oxygenated blood from the lungs but does not directly eject blood into the systemic arterial circulation.
On what basis would the nurse suspect an MI?
- A. He has pale, cool, clammy skin
- B. He reports nausea and vomited once at home
- C. He says he is anxious and has a feeling of impending doom
- D. He reports he has had no relief of the pain with rest or position change
Correct Answer: D
Rationale: Persistent pain despite rest suggests MI.
Which assessment data collected from a client with chronic congestive heart failure would indicate precipitating causes?
- A. Subnormal body temp; Obesity; metabolic acidosis
- B. Peripheral hypotension, asthenia, high altitude
- C. Hyperthyroidism, bronchitis, overexertion
- D. Dry cough, orthopnea, bradycardia
Correct Answer: C
Rationale: These factors strain the heart.