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
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 2 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 3 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 4 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 5 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.