LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
f f f f f f
Chapter 30 f
Questionf1
Type:fMCMA
Whilefdiscussingfcoronaryfheartfdiseasefriskffactorsfwithfafgroupfofffactoryfemployees,fthefnursefincludesfwhichfoptio
nsfasfmodifiablefriskffactors?
StandardfText:fSelectfallfthatfapply.
1.fhypertension
2.fdiabetesfmellitus
3.fobesity
4.fage
5.fheredity
CorrectfAnswer:f1,f2,f3
Rationalef1:fAfpersonfcanfmakefafchoiceftofmodifyfhypertensionfbyfcontrollingfitfthroughfmedications,fweightfcontrol
,fdiet,fandfexercise.
Rationalef2:fAfpersonfcanfmakefafchoiceftofmodifyfdiabetesfmellitusfbyfcontrollingfitfthroughfmedications,fweightfco
ntrol,fdiet,fandfexercise.
Rationalef3:fAfpersonfcanfmakefafchoiceftofobesityfbyfcontrollingfitfthroughfmedications,fweightfcontrol,fdiet,fandfexe
rcise.
Rationalef4:fHereditaryfeffectsfonfcoronaryfheartfdiseasefcannotfbefchanged.
Rationalef5:fAgingfeffectsfonfcoronaryfheartfdiseasefcannotfbefchanged.
GlobalfRationale:fAfpersonfcanfmakefafchoiceftofmodifyfhypertension,fdiabetesfmellitus,fandfobesityfbyfcontrollingft
hemfthroughfmedications,fweightfcontrol,fdiet,fandfexercise.fHereditaryfandfagingfeffectsfonfcoronaryfheartfdiseasefca
nnotfbefchanged.
CognitivefLevel:fApplying
ClientfNeed:fHealthfPromotionfandfMaintenance
ClientfNeedfSub:f
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
,QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fVII.5.fUsefevidence-
basedfpracticesftofguidefhealthfteaching,fhealthfcounseling,fscreening,foutreach,fdiseasefandfoutbreakfinvestigation,fre
ferralfandffollow-upfthroughoutftheflifespan
NLNfCompetencies:fContextfandfEnvironment;fPractice;fapplyfhealthfpromotion/diseasefpreventionfstrategies;fappl
yfhealthfpolicy
Nursing/IntegratedfConcepts:fNursingfProcess:fImplementation
LearningfOutcome:f2.fComparefandfcontrastfthefpathophysiologyfandfmanifestationsfoffcoronaryfheartfdiseasefandfc
ommonfcardiacfdysrhythmias.
MNLfLearningfOutcome:f6.4.1.fExplainfthefincidencefandfpathophysiologyfforfcardiacfperfusionfdisorders.
PagefNumber:f866
Questionf2
Type:fMCSA
Whatfdiagnosticftestfshouldfthefnursefanticipatefasfthefpriorityfforfafpatientfadmittedfwithfchestfpainftofdeterminefcoron
aryfarteryfstatus?
1.fcoronaryfangiography
2.fstressfelectrocardiography
3.fechocardiography
4.fradionuclideftesting
CorrectfAnswer:f1
Rationalef1:fThefgoldfstandardfforfevaluatingfcoronaryfarteriesfisfcoronaryfangiography.fThisftestfvisualizesfthefcoron
aryfarteriesftofdeterminefthefpresencefoffdisease.f
Rationalef2:fAfstressfelectrocardiogramfwillfprobablyfnotfbefdonefuntilfthefangiographyfisfcompletedfandfanalyzed.
Rationalef3:fAnfechocardiogramfevaluatesfcardiacfstructurefandffunctionfandfnotfcoronaryfarteries.f
Rationalef4:fRadionuclideftestingfevaluatesfmyocardialfperfusionfandfleftfventricularffunctionfbutfdoesfnotfspecificall
yffocusfonfthefcoronaryfarteries.f
GlobalfRationale:fThefgoldfstandardfforfevaluatingfcoronaryfarteriesfisfcoronaryfangiography.fThefotherftestsfmayfbef
used,fbutfarefnotfthefprimaryfexam.fAfstressfelectrocardiogramfwillfprobablyfnotfbefdonefuntilfthefangiographyfisfcomp
letedfandfanalyzed.fAnfechocardiogramfevaluatesfcardiacfstructurefandffunctionfandfnotfcoronaryfarteries.fRadionucli
deftestingfevaluatesfmyocardialfperfusionfandfleftfventricularffunctionfbutfdoesfnotfspecificallyffocusfonfthefcoronaryfa
rteries.f
CognitivefLevel:fApplying
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
,ClientfNeed:fPhysiologicalfIntegrity
ClientfNeedfSub:fReductionfoffRiskfPotential
QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fIX.8.fImplementfevidence-
basedfnursingfinterventionsfasfappropriatefforfmanagingfthefacutefandfchronicfcarefoffpatientsfandfpromotingfhealthfac
rossftheflifespan
NLNfCompetencies:fContextfandfEnvironment;fPractice;fconductfpopulation-
basedftransculturalfhealthfassessmentsfandfinterventions
Nursing/IntegratedfConcepts:fNursingfProcess:fPlanning
LearningfOutcome:f4.fRelatefthefoutcomesfoffdiagnosticftestsfandfproceduresftofthefpathophysiologyfoffcardiacfdisor
dersfandfimplicationsfforfpatientfresponsesftofthefdisorder.
MNLfLearningfOutcome:f6.4.2.fDifferentiatefthefriskffactorsfandfdiagnosticftestsfforfcardiacfperfusionfdisorders.
PagefNumber:f874
Questionf3
Type:fMCSA
Aspirinfhasfbeenfprescribedfforfafpatientffollowingfafmyocardialfinfarction.fWhatfshouldfthefnursefincludefwhenfteachi
ngfaboutfthisfdrug?
1.fCheckfwithfyourfhealthcarefproviderfbeforeftakingfanyfherbalfremedies.
2.fReportfanyfitchingfthatfdevelopsfafterfsevenfdaysfofftakingfthefdrug.
3.fTakefatfafdifferentftimefoffdayfthanfwarfarinf(Coumadin).
4.fDofnotfskipfanyfscheduledfappointmentsftofhavefbloodfdrawnfforflabs.
CorrectfAnswer:f1
Rationalef1:fHerbalfremediesfsuchfasfeveningfprimrosefoil,fgarlic,fgingkofbiloba,forfgrapeseedfextractfcanfincreasefthe
feffectfoffthefaspirin.
Rationalef2:fItchingfisfnotfafcommonfsidefeffectfoffaspirinftherapy.
Rationalef3:fAspirinfandfwarfarinf(Coumadin)farefnotftofbeftakenfconcurrently.
Rationalef4:fNoflabfappointmentsfwillfbefmadefjustfforfaspirinftherapy.
GlobalfRationale:fHerbalfremediesfsuchfasfeveningfprimrosefoil,fgarlic,fgingkofbiloba,forfgrapeseedfextractfcanfincre
asefthefeffectfoffthefaspirin.fItchingfisfnotfafcommonfsidefeffectfoffaspirinftherapy.fAspirinfandfwarfarinf(Coumadin)far
efnotftofbeftakenfconcurrently.fNoflabfappointmentsfwillfbefmadefjustfforfaspirinftherapy.
CognitivefLevel:fApplying
ClientfNeed:fPhysiologicalfIntegrity
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
, ClientfNeedfSub:fPharmacologicalfandfParenteralfTherapies
QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fIX.7.fProvidefappropriatefpatientfteachingfthatfreflectsfdevelopmentalfstage,fage,fc
ulture,fspirituality,fpatientfpreferences,fandfhealthfliteracyfconsiderationsftoffosterfpatientfengagementfinftheirfcare
NLNfCompetencies:fContextfandfEnvironment;fPractice;fconductfpopulation-
basedftransculturalfhealthfassessmentsfandfinterventions
Nursing/IntegratedfConcepts:fNursingfProcess:fImplementation
LearningfOutcome:f5.fDiscussfnursingfimplicationsfforfmedicationsfandftreatmentsfusedftofpreventfandftreatfcoronar
yfheartfdiseasefandfdysrhythmias.
MNLfLearningfOutcome:f6.4.3.fExamineftheftreatmentfoptionsfforfcardiacfperfusionfdisorders.
PagefNumber:f881
Questionf4
Type:fMCSA
Thefnursefisfassessingfafpatientfwhofisfsixfhoursfpostoperativeffromfcoronaryfarteryfbypassfgraftf(CABG)fsurgery.fThef
patient’sfheartfratefisf120,fbloodfpressurefisf90/50,furinefoutputfisfdecreased,fchestftubefoutputfisfdecreased,fheartfsoun
dsfarefmuffled,fandfperipheralfpulsesfarefdiminished.fWhatfactionfshouldfthefnurseftakeffirst?f
1.fNotifyfthefphysicianfimmediately.
2.fRecheckfvitalfsignsfinf15fminutes.
3.fRepositionfthefpatient.
4.fIncreasefthefintravenousffluids.
CorrectfAnswer:f1
Rationalef1:fThefpatientfisfexhibitingfsignsfoffcardiacftamponade.fThisfisfafmedicalfemergency,fandfthefphysicianfmus
tfbefnotifiedfimmediately.
Rationalef2:fDelayingfthefresponsefbyfwaitingf15fminutesfwillfbefineffective.
Rationalef3:fRepositioningfthefpatientfwillfbefineffective.
Rationalef4:fNofchangefinfintravenousffluidsfshouldfbefmadefuntilfafphysicianforderfisfgivenftofdofso.
GlobalfRationale:fThefpatientfisfexhibitingfsignsfoffcardiacftamponade.fThisfisfafmedicalfemergency,fandfthefphysicia
nfmustfbefnotifiedfimmediately.fDelayingfthefresponsefbyfwaitingf15fminutesforfrepositioningfthefpatientfwillfbefineffe
ctive.fNofchangefinfintravenousffluidsfshouldfbefmadefuntilfafphysicianforderfisfgivenftofdofso.fCardiacftamponadefisfafl
ife-threateningfpostoperativefcomplicationfthatfcanfleadftofcardiogenicfshockfandfpossiblyfcardiacfarrest.
CognitivefLevel:fApplying
ClientfNeed:fPhysiologicalfIntegrity
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
f f f f f f
Chapter 30 f
Questionf1
Type:fMCMA
Whilefdiscussingfcoronaryfheartfdiseasefriskffactorsfwithfafgroupfofffactoryfemployees,fthefnursefincludesfwhichfoptio
nsfasfmodifiablefriskffactors?
StandardfText:fSelectfallfthatfapply.
1.fhypertension
2.fdiabetesfmellitus
3.fobesity
4.fage
5.fheredity
CorrectfAnswer:f1,f2,f3
Rationalef1:fAfpersonfcanfmakefafchoiceftofmodifyfhypertensionfbyfcontrollingfitfthroughfmedications,fweightfcontrol
,fdiet,fandfexercise.
Rationalef2:fAfpersonfcanfmakefafchoiceftofmodifyfdiabetesfmellitusfbyfcontrollingfitfthroughfmedications,fweightfco
ntrol,fdiet,fandfexercise.
Rationalef3:fAfpersonfcanfmakefafchoiceftofobesityfbyfcontrollingfitfthroughfmedications,fweightfcontrol,fdiet,fandfexe
rcise.
Rationalef4:fHereditaryfeffectsfonfcoronaryfheartfdiseasefcannotfbefchanged.
Rationalef5:fAgingfeffectsfonfcoronaryfheartfdiseasefcannotfbefchanged.
GlobalfRationale:fAfpersonfcanfmakefafchoiceftofmodifyfhypertension,fdiabetesfmellitus,fandfobesityfbyfcontrollingft
hemfthroughfmedications,fweightfcontrol,fdiet,fandfexercise.fHereditaryfandfagingfeffectsfonfcoronaryfheartfdiseasefca
nnotfbefchanged.
CognitivefLevel:fApplying
ClientfNeed:fHealthfPromotionfandfMaintenance
ClientfNeedfSub:f
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
,QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fVII.5.fUsefevidence-
basedfpracticesftofguidefhealthfteaching,fhealthfcounseling,fscreening,foutreach,fdiseasefandfoutbreakfinvestigation,fre
ferralfandffollow-upfthroughoutftheflifespan
NLNfCompetencies:fContextfandfEnvironment;fPractice;fapplyfhealthfpromotion/diseasefpreventionfstrategies;fappl
yfhealthfpolicy
Nursing/IntegratedfConcepts:fNursingfProcess:fImplementation
LearningfOutcome:f2.fComparefandfcontrastfthefpathophysiologyfandfmanifestationsfoffcoronaryfheartfdiseasefandfc
ommonfcardiacfdysrhythmias.
MNLfLearningfOutcome:f6.4.1.fExplainfthefincidencefandfpathophysiologyfforfcardiacfperfusionfdisorders.
PagefNumber:f866
Questionf2
Type:fMCSA
Whatfdiagnosticftestfshouldfthefnursefanticipatefasfthefpriorityfforfafpatientfadmittedfwithfchestfpainftofdeterminefcoron
aryfarteryfstatus?
1.fcoronaryfangiography
2.fstressfelectrocardiography
3.fechocardiography
4.fradionuclideftesting
CorrectfAnswer:f1
Rationalef1:fThefgoldfstandardfforfevaluatingfcoronaryfarteriesfisfcoronaryfangiography.fThisftestfvisualizesfthefcoron
aryfarteriesftofdeterminefthefpresencefoffdisease.f
Rationalef2:fAfstressfelectrocardiogramfwillfprobablyfnotfbefdonefuntilfthefangiographyfisfcompletedfandfanalyzed.
Rationalef3:fAnfechocardiogramfevaluatesfcardiacfstructurefandffunctionfandfnotfcoronaryfarteries.f
Rationalef4:fRadionuclideftestingfevaluatesfmyocardialfperfusionfandfleftfventricularffunctionfbutfdoesfnotfspecificall
yffocusfonfthefcoronaryfarteries.f
GlobalfRationale:fThefgoldfstandardfforfevaluatingfcoronaryfarteriesfisfcoronaryfangiography.fThefotherftestsfmayfbef
used,fbutfarefnotfthefprimaryfexam.fAfstressfelectrocardiogramfwillfprobablyfnotfbefdonefuntilfthefangiographyfisfcomp
letedfandfanalyzed.fAnfechocardiogramfevaluatesfcardiacfstructurefandffunctionfandfnotfcoronaryfarteries.fRadionucli
deftestingfevaluatesfmyocardialfperfusionfandfleftfventricularffunctionfbutfdoesfnotfspecificallyffocusfonfthefcoronaryfa
rteries.f
CognitivefLevel:fApplying
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
,ClientfNeed:fPhysiologicalfIntegrity
ClientfNeedfSub:fReductionfoffRiskfPotential
QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fIX.8.fImplementfevidence-
basedfnursingfinterventionsfasfappropriatefforfmanagingfthefacutefandfchronicfcarefoffpatientsfandfpromotingfhealthfac
rossftheflifespan
NLNfCompetencies:fContextfandfEnvironment;fPractice;fconductfpopulation-
basedftransculturalfhealthfassessmentsfandfinterventions
Nursing/IntegratedfConcepts:fNursingfProcess:fPlanning
LearningfOutcome:f4.fRelatefthefoutcomesfoffdiagnosticftestsfandfproceduresftofthefpathophysiologyfoffcardiacfdisor
dersfandfimplicationsfforfpatientfresponsesftofthefdisorder.
MNLfLearningfOutcome:f6.4.2.fDifferentiatefthefriskffactorsfandfdiagnosticftestsfforfcardiacfperfusionfdisorders.
PagefNumber:f874
Questionf3
Type:fMCSA
Aspirinfhasfbeenfprescribedfforfafpatientffollowingfafmyocardialfinfarction.fWhatfshouldfthefnursefincludefwhenfteachi
ngfaboutfthisfdrug?
1.fCheckfwithfyourfhealthcarefproviderfbeforeftakingfanyfherbalfremedies.
2.fReportfanyfitchingfthatfdevelopsfafterfsevenfdaysfofftakingfthefdrug.
3.fTakefatfafdifferentftimefoffdayfthanfwarfarinf(Coumadin).
4.fDofnotfskipfanyfscheduledfappointmentsftofhavefbloodfdrawnfforflabs.
CorrectfAnswer:f1
Rationalef1:fHerbalfremediesfsuchfasfeveningfprimrosefoil,fgarlic,fgingkofbiloba,forfgrapeseedfextractfcanfincreasefthe
feffectfoffthefaspirin.
Rationalef2:fItchingfisfnotfafcommonfsidefeffectfoffaspirinftherapy.
Rationalef3:fAspirinfandfwarfarinf(Coumadin)farefnotftofbeftakenfconcurrently.
Rationalef4:fNoflabfappointmentsfwillfbefmadefjustfforfaspirinftherapy.
GlobalfRationale:fHerbalfremediesfsuchfasfeveningfprimrosefoil,fgarlic,fgingkofbiloba,forfgrapeseedfextractfcanfincre
asefthefeffectfoffthefaspirin.fItchingfisfnotfafcommonfsidefeffectfoffaspirinftherapy.fAspirinfandfwarfarinf(Coumadin)far
efnotftofbeftakenfconcurrently.fNoflabfappointmentsfwillfbefmadefjustfforfaspirinftherapy.
CognitivefLevel:fApplying
ClientfNeed:fPhysiologicalfIntegrity
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
, ClientfNeedfSub:fPharmacologicalfandfParenteralfTherapies
QSENfCompetencies:fI.A.1.fIntegratefunderstandingfoffmultiplefdimensionsfoffpatientfcenteredfcare
AACNfEssentialsfCompetencies:fIX.7.fProvidefappropriatefpatientfteachingfthatfreflectsfdevelopmentalfstage,fage,fc
ulture,fspirituality,fpatientfpreferences,fandfhealthfliteracyfconsiderationsftoffosterfpatientfengagementfinftheirfcare
NLNfCompetencies:fContextfandfEnvironment;fPractice;fconductfpopulation-
basedftransculturalfhealthfassessmentsfandfinterventions
Nursing/IntegratedfConcepts:fNursingfProcess:fImplementation
LearningfOutcome:f5.fDiscussfnursingfimplicationsfforfmedicationsfandftreatmentsfusedftofpreventfandftreatfcoronar
yfheartfdiseasefandfdysrhythmias.
MNLfLearningfOutcome:f6.4.3.fExamineftheftreatmentfoptionsfforfcardiacfperfusionfdisorders.
PagefNumber:f881
Questionf4
Type:fMCSA
Thefnursefisfassessingfafpatientfwhofisfsixfhoursfpostoperativeffromfcoronaryfarteryfbypassfgraftf(CABG)fsurgery.fThef
patient’sfheartfratefisf120,fbloodfpressurefisf90/50,furinefoutputfisfdecreased,fchestftubefoutputfisfdecreased,fheartfsoun
dsfarefmuffled,fandfperipheralfpulsesfarefdiminished.fWhatfactionfshouldfthefnurseftakeffirst?f
1.fNotifyfthefphysicianfimmediately.
2.fRecheckfvitalfsignsfinf15fminutes.
3.fRepositionfthefpatient.
4.fIncreasefthefintravenousffluids.
CorrectfAnswer:f1
Rationalef1:fThefpatientfisfexhibitingfsignsfoffcardiacftamponade.fThisfisfafmedicalfemergency,fandfthefphysicianfmus
tfbefnotifiedfimmediately.
Rationalef2:fDelayingfthefresponsefbyfwaitingf15fminutesfwillfbefineffective.
Rationalef3:fRepositioningfthefpatientfwillfbefineffective.
Rationalef4:fNofchangefinfintravenousffluidsfshouldfbefmadefuntilfafphysicianforderfisfgivenftofdofso.
GlobalfRationale:fThefpatientfisfexhibitingfsignsfoffcardiacftamponade.fThisfisfafmedicalfemergency,fandfthefphysicia
nfmustfbefnotifiedfimmediately.fDelayingfthefresponsefbyfwaitingf15fminutesforfrepositioningfthefpatientfwillfbefineffe
ctive.fNofchangefinfintravenousffluidsfshouldfbefmadefuntilfafphysicianforderfisfgivenftofdofso.fCardiacftamponadefisfafl
ife-threateningfpostoperativefcomplicationfthatfcanfleadftofcardiogenicfshockfandfpossiblyfcardiacfarrest.
CognitivefLevel:fApplying
ClientfNeed:fPhysiologicalfIntegrity
LeMone/Burke/Bauldoff/Gubrud,fMedical-SurgicalfNursingf6thfEditionfTestfBank
Copyrightf2015fbyfPearsonfEducation,fInc.
