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 with thrombophlebitis. When assessing this client, what would be most important to assess for?
Correct Answer: A
Rationale: Consult with the client about chest pain and dyspnea, which are hallmarks of PE, a complication of thrombophlebitis.
Question 2 of 5
The nurse is caring for a client with infective endocarditis, the treatment of which will require periodically taking antibiotics for life. The client wants to know why. What would be the nurse's best answer to the client?
Correct Answer: B
Rationale: The nurse informs clients that periodic antibiotic therapy is a lifelong necessity because they will be vulnerable to the disease for the rest of their lives. Telling the client 'just to be on the safe side' minimizes the client's question and does not answer the question. The other two answers are partially correct but are not the best answer.
Question 3 of 5
Which type of cardiomyopathy is associated with syncope?
Correct Answer: D
Rationale: Hypertrophic cardiomyopathy is associated with syncope (sudden loss of consciousness) or near-syncopal episodes, which the client may describe as 'graying out'. Dilated cardiomyopathy, the most common type, is accompanied by dyspnea on exertion and when lying down. Restrictive cardiomyopathy has symptoms of exertional dyspnea, dependent edema in the legs, ascites (fluid in the abdomen), and hepatomegaly (enlarged liver). Arrhythmic cardiomyopathy is inherited.
Question 4 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 5 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.