Exam 19: Cardiovascular and Respiratory Disorders

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Which condition is a COPD?

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A

After noticing an older man's extremities are cool and the cardiac monitor is showing a heart rate of 120 bpm,the nurse determines that these findings warrant further investigation.Rank the patient' parameters the nurse should examine to assess cardiac output in order of importance,beginning with the first assessment the nurse should complete.

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A,C,B,D

An African-American 58-year-old man in good health has a blood pressure at 120/73 mm Hg at his annual physical examination.Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age?

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B

The nurse understands that heart disease risk factors are which of the following?

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After an acute exacerbation of COPD,the nurse prepares an older adult for discharge to home.Which is the most important patient teaching for the nurse to include for the prevention of hospitalizations for exacerbations of COPD?

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An older woman has severe ischemic heart disease,hypertension,and low cardiac output.Which medication does the nurse administer to counteract the neurohormonal activation of this patient's cardiovascular status?

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The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual.Which should the nurse do to determine if pneumonia is a potential cause of the change in her status?

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Which classic sign of an acute myocardial infarction (AMI)can be absent in an older man with an AMI?

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Which is(are)potential result(s)of end-organ damage from chronic hypertension?

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An older man who has HF complains of increasing dyspnea over 2 days.Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy?

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Which of the following statements is true about cardiopulmonary disease in older adults?

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The exercise tolerance of an older adult is impaired after a MI because of a low ejection fraction.Rank the following interventions that the nurse should use to assist this individual to restore baseline functional status in order of importance,beginning with the first intervention.

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Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of HF in older adults who have HF?

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The nurse should instruct a patient on which of the following modifiable risk factor(s)for essential hypertension?

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Which of the following is a true statement about heart disease in older men and women?

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Which of the following is a true statement about tuberculosis (TB)in older adults?

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An older woman who has COPD wants to perform self-care activities.Which instruction should the nurse include in patient teaching to help her achieve this goal?

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Which of the following is a true statement about heart disease in older adults?

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An older man in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity; consequently,2 minutes later,he passes out but quickly regains consciousness.Which instruction does the nurse include in patient teaching to reinforce the importance of cooling down after exercising to this man?

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