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What is a condition where the heart's valves do not function properly, leading to disrupted blood flow within the heart?
- A. Valvular heart disease
- B. Myocarditis
- C. Endocarditis
- D. Aneurysm
Correct Answer: A
Rationale: The correct answer is A: Valvular heart disease. Valvular heart disease refers to conditions where the heart's valves do not function properly, leading to disrupted blood flow within the heart. This can result in symptoms like chest pain, shortness of breath, and fatigue. Myocarditis (B) is inflammation of the heart muscle, Endocarditis (C) is an infection of the inner lining of the heart, and Aneurysm (D) is a bulge in a blood vessel. These conditions do not specifically involve malfunctioning heart valves as seen in valvular heart disease.
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Which condition is an infection that inflames the air sacs in one or both lungs, which may fill with fluid?
- A. Pneumonia
- B. Bronchitis
- C. Tuberculosis
- D. Cystic fibrosis
Correct Answer: A
Rationale: The correct answer is A: Pneumonia. Pneumonia is an infection that inflames the air sacs in the lungs, causing them to fill with fluid. This leads to symptoms such as cough, fever, and difficulty breathing. Bronchitis (B) is inflammation of the bronchial tubes, not the air sacs. Tuberculosis (C) is a bacterial infection that primarily affects the lungs but does not always lead to fluid accumulation. Cystic fibrosis (D) is a genetic disorder that affects the lungs but does not involve infection or fluid accumulation in the air sacs.
The client on digoxin has a potassium level of 3.0 mEq/L. What is the nurse's priority action?
- A. Administer a potassium supplement
- B. Hold the digoxin and notify the healthcare provider
- C. Continue the current digoxin dose
- D. Administer Digibind
Correct Answer: B
Rationale: The correct answer is B: Hold the digoxin and notify the healthcare provider. A potassium level of 3.0 mEq/L can increase the risk of digoxin toxicity as hypokalemia potentiates its effects. Holding the digoxin and informing the healthcare provider allows for further assessment and possible adjustment of the medication regimen. Administering a potassium supplement (A) without adjusting the digoxin dose can still lead to toxicity. Continuing the current digoxin dose (C) without addressing the low potassium level puts the client at risk. Administering Digibind (D) is not necessary at this point as the priority is to address the low potassium level and prevent digoxin toxicity.
What test measures the electrical activity of the heart to detect arrhythmias and other heart conditions?
- A. Electrocardiogram (ECG or EKG)
- B. Chest X-ray
- C. Stress test
- D. Arterial blood gas (ABG)
Correct Answer: A
Rationale: The correct answer is A: Electrocardiogram (ECG or EKG). An ECG measures the electrical activity of the heart by recording the heart's rhythm and electrical signals. It is used to detect arrhythmias and other heart conditions based on the pattern of the electrical waves. A chest X-ray (B) is used to visualize the heart and lungs, not to measure electrical activity. A stress test (C) assesses the heart's response to physical activity. Arterial blood gas (D) measures oxygen and carbon dioxide levels in the blood, not heart activity. Thus, the ECG is the most appropriate test for detecting arrhythmias and other heart conditions.
Which serum enzyme would elevate first after an infarction?
- A. Serum glutamic-oxaloacetic transaminase (SGOT)
- B. Lactic acid dehydrogenase (LDH)
- C. Creatine phosphokinase isoenzymes (CPK-MB)
- D. Serum glutamic-pyruvic transaminase (SGPT)
Correct Answer: C
Rationale: CPK-MB rises early after MI onset.
Which type of lung cancer begins in the cells lining the bronchi and bronchioles?
- A. Adenocarcinoma
- B. Small cell lung cancer
- C. Squamous cell carcinoma
- D. Mesothelioma
Correct Answer: A
Rationale: The correct answer is A: Adenocarcinoma. This type of lung cancer begins in the cells lining the bronchi and bronchioles. Adenocarcinoma is the most common type of lung cancer and often affects non-smokers. It is characterized by the growth of glandular cells in the lining of the lungs.
B: Small cell lung cancer typically originates in the bronchi, but it is characterized by small, round cells and tends to grow and spread quickly.
C: Squamous cell carcinoma starts in the squamous cells lining the airways and is associated with a history of smoking.
D: Mesothelioma is a cancer of the mesothelial cells that line the lungs, not specifically the bronchi or bronchioles. It is commonly linked to asbestos exposure.