Nokea
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 impulses are delayed or blocked, leading to a slower or irregular heartbeat?
- A. Heart block
- B. Tachycardia
- C. Bradycardia
- D. Arrhythmia
Correct Answer: A
Rationale: The correct answer is A: Heart block. Heart block is a condition where the electrical impulses in the heart are delayed or blocked, leading to a slower or irregular heartbeat. This can result in symptoms like dizziness, fatigue, and fainting. Tachycardia (B) is a condition of a fast heart rate, not a delayed or blocked impulse. Bradycardia (C) is a slow heart rate, but it doesn't necessarily involve delayed or blocked impulses. Arrhythmia (D) is a broad term for any irregular heartbeat pattern, not specifically related to delayed or blocked impulses.
What is a condition where the heart muscle becomes thickened without an obvious cause, leading to a reduction in the heart's ability to pump blood?
- A. Hypertrophic cardiomyopathy
- B. Dilated cardiomyopathy
- C. Restrictive cardiomyopathy
- D. Myocarditis
Correct Answer: A
Rationale: The correct answer is A: Hypertrophic cardiomyopathy. In this condition, the heart muscle becomes thickened, affecting the heart's ability to pump blood efficiently. This is due to genetic mutations causing the muscle cells to grow abnormally. This leads to poor relaxation and filling of the heart, impairing its pumping function.
B: Dilated cardiomyopathy involves the heart muscle becoming weak and stretched, leading to reduced pumping ability.
C: Restrictive cardiomyopathy involves the heart muscle becoming stiff and rigid, impairing its ability to fill with blood properly.
D: Myocarditis is inflammation of the heart muscle, typically caused by infections or autoimmune conditions, leading to temporary reduction in heart function.
Hence, the correct answer is A as it specifically describes the scenario of a thickened heart muscle without an obvious cause impacting the heart's pumping ability.
Defibrillation is used immediately in cases of ventricular fibrillation or ventricular tachycardia. The reason for this is to
- A. completely depolarize all myocardial cells simultaneously
- B. decrease ventricular irritability
- C. increase ventricular irritability
- D. increase amplitude of the QRS complexes
Correct Answer: A
Rationale: Synchronized depolarization restores normal rhythm.
To assess whether Mr. Young's synchronous pacemaker is working properly, which statement do you need to remember about a synchronous pacemaker?
- A. His pacemaker will fire regardless of Mr. Young's own spontaneous heart rate
- B. His pacemaker will fire only when his own heart rate drops below 72 beats per minute
- C. If his pacemaker does not fire 72 times every minute, it is not working properly
- D. This type of pacemaker can precipitate ventricular fibrillation because of its increased chance of firing on the T wave
Correct Answer: B
Rationale: Demand pacemakers fire only when needed.
The client is on a beta blocker for hypertension. What should the nurse monitor for?
- A. Bradycardia
- B. Tachycardia
- C. Hypertension
- D. Respiratory distress
Correct Answer: A
Rationale: The correct answer is A: Bradycardia. Beta blockers slow down the heart rate by blocking the effects of adrenaline. Therefore, the nurse should monitor for bradycardia as it is a common side effect of beta blockers. Tachycardia (B) is unlikely due to the medication's mechanism. Hypertension (C) is already being treated by the beta blocker. Respiratory distress (D) is not a typical side effect of beta blockers.