Custom Cardiovascular Fall 2023
ATI Custom Cardiovascular Fall 2023
Total Questions : 50
Showing 10 questions Sign up for moreThe nurse is educating a patient with phlebitis of the left leg.
What alternative therapy should this patient avoid until the condition is resolved?
Explanation
Choice A rationale:
Yoga involves gentle stretching and may not directly impact the phlebitis.
Choice B rationale:
Therapeutic massage could potentially dislodge a clot in the leg, leading to a dangerous condition called a pulmonary embolism.
Choice C rationale:
Acupressure, like yoga, involves gentle pressure and may not directly impact the phlebitis.
Choice D rationale:
Acupuncture involves the insertion of needles and could potentially cause harm, but it is less likely to dislodge a clot than massage.
An older adult patient tells the home health nurse, "My health care provider hasn't helped my arthritis at all.
I am using the chiropractor now.”. What change has the patient made?
Explanation
Choice A rationale:
Allopathic medicine refers to traditional Western medicine. The patient has switched from this to a chiropractor, which is considered an alternative therapy.
Choice B rationale:
Complementary therapies are used in conjunction with allopathic medicine, not in place of it.
Choice C rationale:
The patient has not switched to a complementary therapy, but rather from allopathic medicine to an alternative therapy.
Choice D rationale:
The patient has not switched from an alternative therapy to allopathic medicine, but the other way around.
A nurse is educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies.
What type of therapy is contraindicated in patients with pacemakers?
Explanation
Choice A rationale:
Imagery therapy is a mind-body intervention that does not involve any physical risk to the pacemaker.
Choice B rationale:
Magnetic therapy could potentially interfere with the functioning of the pacemaker.
Choice C rationale:
Relaxation therapy, like imagery therapy, is a mind-body intervention that does not involve any physical risk to the pacemaker.
Choice D rationale:
Yoga is a physical activity that does not involve any direct risk to the pacemaker.
A nurse is teaching a client about fat-soluble vitamins.
Which vitamins are considered fat-soluble? Select all that apply.
Explanation
Choice A rationale:
Vitamin A is a fat-soluble vitamin that is stored in the liver and adipose tissues. It plays a crucial role in vision, growth, and immune function.
Choice B rationale:
Vitamin D is a fat-soluble vitamin that is essential for calcium absorption and bone health. It can be synthesized by the body when exposed to sunlight.
Choice C rationale:
Vitamin E is a fat-soluble vitamin that acts as an antioxidant, protecting cells from damage caused by free radicals.
Choice D rationale:
Vitamin K is a fat-soluble vitamin that plays a key role in blood clotting. It is also involved in bone metabolism.
A nurse is teaching a class about manual therapies.
The nurse should include that which of the following treatments is part of chiropractic medicine?
Explanation
Choice A rationale:
Surgical procedures are not part of chiropractic medicine. Chiropractors use hands-on spinal manipulation and other alternative treatments.
Choice B rationale:
Acupuncture is a form of traditional Chinese medicine, not chiropractic medicine. It involves inserting thin needles into specific points on the body.
Choice C rationale:
Spinal manipulation is a key component of chiropractic medicine. Chiropractors use it to restore joint mobility and alleviate pain.
Choice D rationale:
Prescription medications are not typically part of chiropractic medicine. Chiropractors focus on hands-on treatments and lifestyle modifications.
A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease.
Which of the following actions should the nurse take? (Select all that apply.).
Explanation
Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.
A patient is in the ER for a suspected myocardial infarction.
The nurse sends a blood sample to the lab.
The patient asked the nurse what laboratory levels would be elevated to indicate an MI. The nurse replies:
Explanation
Choice A rationale:
Elevated potassium levels are not a specific indicator of a myocardial infarction (MI). They could be due to other conditions like kidney disease.
Choice B rationale:
Elevated CK-MB and Troponin levels are indeed indicators of an MI. These proteins are released into the blood when heart muscle is damaged.
Choice C rationale:
An elevated lipid profile is a risk factor for heart disease, but it does not indicate an acute MI.
Choice D rationale:
An elevated WBC count could indicate an infection or inflammation, but it is not a specific indicator of an MI.
The nurse recognizes that when a patient is unable to consume adequate nutrition by mouth, an alternative route such as a feeding ostomy may be used.
What is the proper term for feeding a patient by this method?
Explanation
Choice A rationale:
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It’s not the same as a feeding ostomy.
Choice B rationale:
Nasogastric refers to a tube that is placed through the nose into the stomach. It’s not a term for a feeding method.
Choice C rationale:
Parenteral refers to routes of administration that are not oral or enteral, such as intravenous. It’s not the same as a feeding ostomy.
Choice D rationale:
Enteral feeding is the correct term for feeding a patient through a feeding ostomy. It involves delivering nutrition directly to the stomach or small intestine.
The nurse is providing information about high cholesterol levels.
What is the rationale for avoiding saturated fats?
Explanation
Choice A rationale:
Saturated fats increase blood cholesterol levels, which can lead to atherosclerosis and heart disease.
Choice B rationale:
The need for hydrogenation is not a reason to avoid saturated fats. Hydrogenation is a process that turns unsaturated fats into saturated fats.
Choice C rationale:
Saturated fats do not interfere with metabolism in a way that would be a reason to avoid them.
Choice D rationale:
Saturated fats do not block the absorption of nutrients. They are themselves a source of dietary energy.
During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside.
What is this herbal remedy?
Explanation
The correct answer is choicea. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin).It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications.It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects.It does not have a significant impact on anticoagulant medications.
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