Following an acute myocardial infarction, a previously healthy 63-yr-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about

Correct Answer: D

Rationale: ACE inhibitor therapy is currently recommended to prevent the development of heart failure in patients who have had a myocardial infarction and as a first-line therapy for patients with chronic heart failure. Digoxin therapy for heart failure is no longer considered a first-line measure, and digoxin is added to the treatment protocol when therapy with other drugs such as ACE-inhibitors, diuretics, and β-adrenergic blockers is insufficient. Calcium channel blockers are not generally used in the treatment of heart failure. The β-adrenergic blockers are not used as initial therapy for new onset heart failure.

Correct Answer: B

Rationale: During embryonic development, the bulbus cordis and common ventricle grow rapidly to form the ventricles.

Correct Answer: A

Rationale: A decreased refractory period allows re-entry circuits, increasing the risk of ventricular fibrillation.

Correct Answer: A

Rationale: The 2nd heart sound (S2) occurs at the end of systole (point D) with the closure of aortic and pulmonary valves.

Correct Answer: C

Rationale: Anaphylactic shock presents with allergic symptoms like cough, breathlessness, and rashes.