NUR 280 Cardiac Quiz

NUR 280 Cardiac Quiz
1. A patient with persistent, primary hypertension remains apathetic about his high blood
pressure, stating, "I don't feel sick, and it doesn't seem to be causing me any problems that I can
tell."How could a clinician best respond to this patient's statement?
A. "That's true, but it's an indicator that you're not taking very good care of yourself."
B. "You're right, but it's still worthwhile to monitor it in case you do develop problems."
C. "You may not sense any problems, but it really increases your risk of heart disease and
stroke."
D. "Actually, high blood pressure makes you very susceptible to getting diabetesin the future."
Answer
C."You may notsense any problems, but it really increases your risk of heart disease and
stroke."
Hypertension is a highly significant risk factor for heart disease and stroke. It would be
inappropriate to promote monitoring without promoting lifestyle modifications or other
interventions to lower the patient's blood pressure, or teaching the patient about the deleterious
effects of hypertension.It is likely unproductive to simply characterize the patient's hypertension
as demonstrating that he does not "take care" of himself. Hypertension is not a risk factor for the
development of diabetes mellitus.
2. A male patient with a history of angina has presented to the emergency department with
uncharacteristic chest pain and hissubsequent ECG reveals T-wave elevation.
This finding suggests an abnormality with which of the following aspects of the cardiac cycle?
A. Ventricular depolarization
B. Ventricular repolarization
C. Depolarization of the AV node, bundle branches, and Purkinje system
D. Atrial depolarization
Answer
B.Ventricular repolarization

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