ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 23 : Caring for Clients With Infectious and Inflammatory Disorders of the Heart
and Blood Vessels Questions
Question 1 of 5
The nurse is caring for a client who is scheduled for a sympathectomy. In what disease process would a sympathectomy be performed to relieve vasospasm?
Correct Answer: A
Rationale: Sympathectomy, the surgical interruption or suppression of some portion of the sympathetic nerve pathway, is performed to relieve vasospasm. None of the other answers would require a sympathectomy to relieve vasospasm.
Question 2 of 5
The nursing instructor is teaching a class on thrombophlebitis. What should the nurse tell the students about the inflammatory response in thrombophlebitis?
Correct Answer: B
Rationale: Accumulated waste products in the blocked vessel irritate the vein wall, initiating an inflammatory response. The other options are incorrect because they do not cause the inflammatory response in thrombophlebitis.
Question 3 of 5
The nurse is caring for a client with Buerger's disease. The nurse knows that most of the care for this disease is carried out at home. What would be important to teach a client with Buerger's disease?
Correct Answer: D
Rationale: The nurse teaches the client self-care techniques and stresses the importance of smoking cessation and performing prescribed exercises consistently. Eating a healthy diet, joining a support group, or cooperating with a home health nurse might be important to teach some clients. However, smoking cessation is very important to a client with Buerger's disease.
Question 4 of 5
The nurse is caring for a pediatric client diagnosed with rheumatic carditis. The parents ask what is causing the inflammation. The nurse is correct to answer which of the following?
Correct Answer: B
Rationale: The inflammatory symptoms of rheumatic carditis are believed to be induced by antibodies originally formed to destroy the group A beta-hemolytic streptococcal microorganism. It is not the microorganism or infection that causes the inflammation. It is not structural damage that causes inflammation.
Question 5 of 5
The nurse is obtaining a history from a client brought to the emergency department following a motor vehicle accident. The client states having a history of rheumatic heart disease as a child. The nurse would evaluate this patient for which long-standing changes of rheumatic heart disease?
Correct Answer: A
Rationale: After the acute episode of rheumatic fever, many of the symptoms cease and the client recovers, but valvular changes remain. Dysrhythmias occur in the acute period and may lead to heart failure. Pulmonary hypertension is not noted during this time.