Test Bank for Guidelines in Primary Care, 4th Edition by Amelie Hollier – Complete & Updated Questions with Answers

TESTBANK
GUIDELINES IN PRIMARY CARE, 4TH EDITION
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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 k




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

ANS: D k




The myocardium is the specialized muscle layer that allows the heart to contract.2.The
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k nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle.
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b. atrioventricular (AV) node. k k




c. sinoatrial (SA) node. k k




d. bundle of His. k k




ANS: C k




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)
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k differ in women because acute chest pain is not present. Women are frequently
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k misdiagnosed as having: k k




a. hepatitis A. k




b. indigestion.
c. urinary infection. k




d. menopausal complications. k

, ANS: B k




Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
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kforwomen having an MI. k k k




4. The
nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the
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sound ofthe:
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a. AV valves closing.
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b. closure of the semilunar valves. k k k k




c. contraction of the papillary muscles. k k k k




d. contraction of the ventricles. k k k




ANS: A k




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
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k physician notes the patient has a diagnosis of heart failure with a New York Heart Association
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k (NYHA)classification of IV. This indicates the patients condition as: k k k k k k k k




a. moderate heart failure. k k




b. severe heart failure. k k




c. congestive heart failure. k k




d. negligible heart failure. k k




ANS: B k




Class IV: Severe; patient unable to perform any physical activity without discomfort.
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kAngina orsymptoms 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
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k failure, butdoes have a history of rheumatic fever and has been recently diagnosed
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k with diabetes mellitus.The nurse is aware that using the American College of
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k Cardiology and the American Heart Association (ACC/AHA) staging, this patient
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k would be a: k k




a. stage A. k




b. stage B. k




c. stage C. k




d. stage D. k




ANS: A k




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