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Which surgical procedure involves grafting a blood vessel to bypass a blocked artery in the heart?
- A. Coronary artery bypass graft (CABG)
- B. Valve replacement
- C. Stent placement
- D. Angioplasty
Correct Answer: A
Rationale: The correct answer is A: Coronary artery bypass graft (CABG). This procedure involves grafting a blood vessel to bypass a blocked artery in the heart, improving blood flow. Valve replacement (B) is not a procedure for bypassing blocked arteries. Stent placement (C) involves inserting a mesh tube to keep the artery open but does not involve grafting a blood vessel. Angioplasty (D) is a procedure to widen blocked arteries using a balloon, not grafting a blood vessel. Therefore, the correct choice is CABG.
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What is a condition where the heart's electrical system malfunctions, leading to an irregular heartbeat or arrhythmia?
- A. Arrhythmia
- B. Bradycardia
- C. Tachycardia
- D. Ventricular fibrillation
Correct Answer: A
Rationale: The correct answer is A: Arrhythmia. Arrhythmia refers to an irregular heartbeat caused by malfunctioning of the heart's electrical system. Bradycardia (B) is a slow heart rate, Tachycardia (C) is a fast heart rate, and Ventricular fibrillation (D) is a life-threatening arrhythmia characterized by rapid, irregular heartbeats. Arrhythmia encompasses various types of irregular heart rhythms, making it the most appropriate choice in this context.
What advice about sexual activity should the nurse give to a male patient who has had an MI?
- A. The patient should use the superior position
- B. Foreplay may cause too great an increase in heart rate
- C. Prophylactic nitroglycerin may be used if angina occurs
- D. Performance can be enhanced with the use of sildenafil (Viagra)
Correct Answer: C
Rationale: Nitroglycerin prevents angina during activity.
An evaluation of Mrs. M.'s response to anticoagulant therapy for her arterial occlusion should include
- A. increased claudication
- B. decreased blood pressure
- C. compliance to skin care
- D. improvement of symptoms
Correct Answer: D
Rationale: Improvement in symptoms is a key indicator of effective anticoagulant therapy.
What is a condition where the heart beats too slowly, reducing the amount of blood pumped to the body?
- A. Bradycardia
- B. Tachycardia
- C. Atrial fibrillation
- D. Ventricular fibrillation
Correct Answer: A
Rationale: Certainly! Bradycardia is the correct answer because it refers to a slow heart rate, leading to reduced blood flow to the body. This condition can result in symptoms like dizziness, fatigue, and fainting. Tachycardia, on the other hand, is the opposite - a fast heart rate that can also impact blood flow. Atrial fibrillation and ventricular fibrillation are irregular heart rhythms rather than slow heart rates, causing rapid and chaotic heartbeats that can be life-threatening. Therefore, the correct answer is A, bradycardia, as it specifically addresses the scenario of the heart beating too slowly.
When administering furosemide (Lasix) to a client, which lab value is most important to monitor?
- A. Potassium
- B. Sodium
- C. Calcium
- D. Chloride
Correct Answer: A
Rationale: The correct answer is A: Potassium. Furosemide is a loop diuretic that can cause potassium loss through increased urine output. Monitoring potassium levels is crucial to prevent hypokalemia, which can lead to serious cardiac arrhythmias. Sodium (B) and chloride (D) levels can also be affected by furosemide but are not as critical as potassium. Calcium (C) monitoring is not typically required when administering furosemide. By closely monitoring potassium levels, healthcare providers can prevent potential complications and ensure the safe administration of furosemide.