Primary Care Clinical Guidelines Made Simple: Quick Review & Practical Guide

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GUIDELINES IN PRIMARY CARE, 4TH EDITION By
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Amelie Hollier
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,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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Table of Contents
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Chapter 1: Cardiovascular Disorders
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Chapter 2: Dermatologic Disorders
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Chapter 3: Ear Nose & Throat Disorders
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Chapter 4: Endocrine Disorders
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Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
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Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
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Chapter 11: Neurologic Disorders
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Chapter 12: Ophthalmic Disorders
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Chapter 13: Orthopedic Disorders
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Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
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Chapter 16: Pulmonary Disorders
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Chapter 17: Sexually Transmitted Diseases
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Chapter 18: Urologic Disorders
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Chapter 19: Women’s Health Disorders
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,Chapter 1: Cardiovascular Disorders
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Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE vr




1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
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contraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS: D vr




The myocardium is the specialized muscle layer that allows the heart to contract.
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2.The nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle. vr




b. atrioventricular (AV) node. vr vr




c. sinoatrial (SA) node. vr vr




d. bundle of His. vr vr




ANS: C vr




The SA node is the master pacemaker of the heart.
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3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
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vr women because acute chest pain is not present. Women are frequently misdiagnosed as having:
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a. hepatitis A. vr




b. indigestion.
c. urinary infection. vr




d. menopausal complications. vr

, ANS: B vr




Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for
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women having an MI.
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4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound ofthe:
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a. AV valves closing. vr vr




b. closure of the semilunar valves. vr vr vr vr




c. contraction of the papillary muscles. vr vr vr vr




d. contraction of the ventricles. vr vr vr




ANS: A vr




The LUBB is the first sound of a low pitch heard when the AV valves close.
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5.A patient is admitted from the emergency department. The emergency department physician
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notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
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classification of IV. This indicates the patients condition as:
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a. moderate heart failure. vr vr




b. severe heart failure. vr vr




c. congestive heart failure. vr vr




d. negligible heart failure. vr vr




ANS: B vr




Class IV: Severe; patient unable to perform any physical activitywithout discomfort. Angina or
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symptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has no signs or symptoms of heart failure, but
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does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.
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The nurse is aware that using the American College of Cardiology and the American Heart
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Association (ACC/AHA) staging, this patient would be a:
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a. stage A. vr




b. stage B. vr




c. stage C. vr




d. stage D. vr




ANS: A vr




The ACC/AHA staging describes stage A as a person without symptoms of heart failure, butwith
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primary conditions associated with the development of the disease.
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