Exam 24: Alterations of Cardiovascular Function

A 51-year-old male is at the health clinic for an annual physical exam.After walking from the car to the clinic, he developed substernal pain.He also reported discomfort in his left shoulder and his jaw, lasting 2-3 minutes and then subsiding with rest.He indicates that this has occurred frequently over the past few months with similar exertion.The nurse suspects he is most likely experiencing:

A 52-year-old is diagnosed with primary hypertension but has no other health problems.Present treatment would cause the nurse to anticipate administering which drug to the patient?

Individuals with Raynaud disease need to be counseled to avoid which of the following conditions to prevent severe symptoms?

A 60-year-old female has survived a myocardial infarction.The nurse is providing care for impaired ventricular function because:

A 20-year-old female is being admitted to the hospital with fever and septic shock.Which set of assessment findings would the nurse expect the patient to exhibit?

One consequence of switching from aerobic to anaerobic cellular metabolism during shock states is:

A 67-year-old was previously diagnosed with rheumatic heart disease.Tests now reveal lipoprotein deposition with chronic inflammation that impairs blood flow from the left ventricle into the aorta.Which diagnosis does this history support?

A 49-year-old male presents reporting chest pain.EKG reveals ST elevation.He is diagnosed with myocardial ischemia.Which of the following interventions would be most beneficial?

The onset of anaphylactic shock is usually:

A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down.Other signs include a fever, tachycardia, and a friction rub.Assessment findings support which medical diagnosis?

Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching?

The most common cause of myocardial ischemia is:

When a patient is diagnosed with coronary artery disease, the nurse assesses for myocardial:

A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema.The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is:

A patient most prone to multiple organ dysfunction syndrome (MODS)is a patient with:

Inflammatory cells have difficulty limiting the colonization of microorganisms in infective endocarditis because the:

A patient is diagnosed with orthostatic hypotension.Which of the following symptoms would most likely be reported?

A nurse takes an adult patient's blood pressure and determines it to be normal.What reading did the nurse obtain?

A patient is diagnosed with coronary artery disease.Which of the following modifiable risk factors would the nurse suggest the patient change?

For an infection to progress to septic shock, what must occur?