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What is the abnormal accumulation of fluid in the pleural space, often associated with infections or malignancies?
- A. Pleural effusion
- B. Pneumothorax
- C. Pulmonary edema
- D. Atelectasis
Correct Answer: A
Rationale: The correct answer is A: Pleural effusion. Pleural effusion is the abnormal accumulation of fluid in the pleural space, commonly caused by infections or malignancies. This condition leads to symptoms like chest pain and difficulty breathing. Pneumothorax (B) is the presence of air in the pleural space, not fluid. Pulmonary edema (C) is the accumulation of fluid in the lungs' air sacs, not the pleural space. Atelectasis (D) is the collapse of a lung or part of a lung, not fluid accumulation in the pleural space.
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A patient with cardiogenic shock receives a nursing diagnosis of decreased cardiac output. With the appropriate interventions, the anticipated outcome is for the patient to achieve:
- A. baseline activity level.
- B. baseline cardiac function.
- C. decreased afterload.
- D. reduced anxiety.
Correct Answer: B
Rationale: Restoring baseline cardiac function is the goal in managing decreased cardiac output.
Which valve prevents backflow of blood into the left ventricle from the aorta?
- A. Aortic valve
- B. Mitral valve
- C. Tricuspid valve
- D. Pulmonary valve
Correct Answer: A
Rationale: The correct answer is A: Aortic valve. The aortic valve is located between the left ventricle and the aorta, preventing the backflow of blood into the left ventricle during diastole. This is essential for maintaining proper blood flow direction and preventing regurgitation. The other choices, B: Mitral valve, C: Tricuspid valve, and D: Pulmonary valve, are all located in different areas of the heart and serve different functions. The mitral valve is between the left atrium and ventricle, the tricuspid valve is between the right atrium and ventricle, and the pulmonary valve is between the right ventricle and pulmonary artery. None of these valves are responsible for preventing backflow into the left ventricle from the aorta.
This medication type is used to relax and widen blood vessels, improving blood flow and reducing blood pressure.
- A. Vasodilator
- B. Anticoagulant
- C. Diuretic
- D. Beta-blocker
Correct Answer: A
Rationale: The correct answer is A: Vasodilator. Vasodilators relax and widen blood vessels, leading to improved blood flow and decreased blood pressure. They work directly on the muscles in the walls of blood vessels. Anticoagulants (B) prevent blood clot formation, diuretics (C) increase urine production to reduce fluid buildup, and beta-blockers (D) reduce heart rate and blood pressure by blocking the effects of adrenaline. Therefore, only vasodilators directly target blood vessel relaxation and widening to improve blood flow and reduce blood pressure.
Which of the following is a chronic condition characterized by difficulty breathing due to airflow obstruction, commonly associated with long-term smoking?
- A. Chronic obstructive pulmonary disease (COPD)
- B. Asthma
- C. Pulmonary hypertension
- D. Bronchitis
Correct Answer: A
Rationale: Rationale:
1. Chronic obstructive pulmonary disease (COPD) is characterized by airflow obstruction and difficulty breathing.
2. COPD is commonly linked to long-term smoking due to the damage caused to the lungs.
3. Asthma involves airway inflammation and reversible airflow obstruction, not necessarily linked to smoking.
4. Pulmonary hypertension is high blood pressure in the lungs, not directly related to smoking.
5. Bronchitis is inflammation of the bronchial tubes, not synonymous with airflow obstruction.
Summary: COPD is the correct answer as it aligns with the chronic condition characterized by airflow obstruction due to long-term smoking, distinguishing it from the other choices.
What is a condition where the heart is unable to relax properly between beats, reducing its ability to fill with blood?
- A. Diastolic heart failure
- B. Systolic heart failure
- C. Hypertrophic cardiomyopathy
- D. Restrictive cardiomyopathy
Correct Answer: A
Rationale: The correct answer is A: Diastolic heart failure. In diastolic heart failure, the heart is unable to relax properly during the filling phase (diastole), leading to impaired filling of the ventricles. This results in decreased blood supply to the body. Systolic heart failure, on the other hand, is characterized by the heart's inability to contract effectively during the ejection phase (systole). Hypertrophic cardiomyopathy involves abnormal thickening of the heart muscle, affecting its function. Restrictive cardiomyopathy is characterized by stiffening of the heart muscle, impairing its ability to relax and fill properly, but it is different from diastolic heart failure.