VH 2 Midterm

Question 1

What causes left-sided heart failure and what condition arises from it?

Answer 1

Left ventricle cannot pump blood out of the body blood,
backs up into the left face atrium and
eventually into the lungs causing ‘congestive heart failure’ CHF

Question 2

Exertion, emotion, eating and cold are related to what condition?

Answer 2

angina pectoris

Question 3

What nursing action may benefit patients with CHF

Answer 3

-Check weight at same time daily
-Report weight gain of more than 1 kg in 24 hours
-Utilizing High Fowler’s position when sitting
-Elevate legs while sitting

Question 4

What does the diagnosis of COPD refer to

Answer 4

A variety of lung conditions characterized by restricted airflow

Question 5

What causes shingles (herpes zoster)

Answer 5

Caused by the reactivation of a dormant virus

Question 6

The most common chronic risk factor of ‘CVD’

Answer 6

Hypertension

Question 7

How often to reposition a patient in bed at risk of pressure ulcers

Answer 7

Every 2 hours

Question 8

The major signs and symptoms of respiratory disease

Answer 8

cyanosis
sputum production
dyspnea
chest pain
clubbing of fingers

Question 9

The best way to relieve ‘intermittent claudication’

Answer 9

Often relieved by rest and dangling the legs

Question 10

The recommended flow rate of O2 via nasal prongs for a patient with COPD

Answer 10

2 - 3 L/m

Question 11

A patient newly diagnosed with COPD states “if I get short of breath I’ll turn my O2 up”. Does this patient need further teaching? True/False

Answer 11

True

Question 12

The symptoms associated with ‘hyperthyroidism’ (Graves disease)

Answer 12

Increased metabolic rate
increased appetite
weight loss
tachycardia

Question 13

The most common cause of M.I.

Answer 13

Reduce blood flow in the coronary arteries due to rupture of an atherosclerotic plaque

Question 14

The common physiological changes with age of the respiratory system 3

Answer 14

Decreased vital capacity
decreased cough reflex
and
decreased cilia

Question 15

COPD is an umbrella term for which common disease processes 3

Answer 15

Emphysema
chronic bronchitis
and
chronic asthma

Question 16

The 3 functions of insulin

Answer 16

To carry glucose into the cells for energy use

Question 17

What is ‘Keratin’

Answer 17

A tough protective protein

Question 18

Ventilation

Answer 18

Flow of gas in and out of the lungs

Question 19

NIDDM is an inherited disease with obesity as a triggering Factor. True/ False

Answer 19

True

Question 20

Heart failure

Answer 20

The inability of the heart to pump sufficient blood to meet the body’s needs

Question 21

How would the skin of a diabetic be when they are experiencing ‘hypoglycemia’

Answer 21

Moist and cool

Question 22

The common signs related to nitroglycerin use

Answer 22

Headache

Question 23

With right-sided heart failure what is important to teach the patient about their legs

Answer 23

Elevate the legs when sitting

Question 24

Patient with hypertension symptoms usually disappear when the patient is dehydrated. True/False

Answer 24

False

Question 25

The deadliest form of ‘skin cancer’

Answer 25

Melanoma

Question 26

Which risk of factors for ‘heart disease’ cannot be modified

Answer 26

Gender

Question 27

Essential hypertension

Answer 27

Not caused by an underlying condition

Question 28

One purpose of evidence-based nursing

Answer 28

To learn about drugs and disease processes

Question 29

Which characteristics most likely contributes to developing ‘basal cell carcinoma’

Answer 29

Male pattern baldness

Question 30

What the pancreas cannot do in ‘Type 1 Diabetes Mellitus

Answer 30

It is incapable of producing insulin

Question 31

What is the goal of treatment for left and right sided heart failure

Answer 31

To increase the amount of blood that is pumped out of the heart

Question 32

What should a patient avoid doing that has been diagnosed with thrombophlebitis

Answer 32

To avoid crossing their legs and ankles

Question 33

How ‘Venous stasis’ is developed

Answer 33

Prolonged periods of activity varicose veins spinal cord injury

Question 34

‘Exudate’ (another word for it)

Answer 34

Drainage

Question 35

‘Acromegaly’

Answer 35

Over secretion of the growth hormone

Question 36

A stage 3 pressure sore

Answer 36

Progression to the shallow crater that extends into the subcutaneous skin layer

Question 37

A patient recently diagnosed with type 2 diabetes needs to know the importance of exercise and weight loss with a diet low in processed sugar May decrease the need for oral hypoglycemics. True/False

Answer 37

True

Question 38

What disabilities of the foot are most commonly caused by

Answer 38

Poor fitting Footwear

Question 39

The process of ‘ketoacidosis’

Answer 39

-The body breaks down fat as an energy source
-this causes the release of fatty acids
-A byproduct of fatty acid metabolism is ketones
-A buildup of ketones can lead to ketoacidosis

Question 40

The factors associated with the development of pneumonia

Answer 40

Immobility
Impaired gas exchange
Atelectasis

Question 41

What is the major preventable cause of death and disease in Canada

Answer 41

Smoking

Question 42

A positive ‘Homan’s sign’ is an indication of

Answer 42

The presence of a DVT

Question 43

The causes of pneumonia in the elderly

Answer 43

Immobility
Ineffective cough
and
decreased immune system function

Question 44

Red skin patches covered with silvery scales defines what

Answer 44

Psoriasis

Question 45

The risk factors for ‘heart disease’

Answer 45

Diabetes mellitus
Type A personality
and
physical inactivity

Question 46

Myocardial infarction

Answer 46

Characterized by subternal pain that may spread

Question 47

Another name for ‘Type 1 diabetes mellitus’

Answer 47

Insulin dependent