(1 point). Listen.
A nurse is providing care to a patient with coronary artery disease.
The nurse knows that the most common cause of this condition is:.
Myocarditis.
Hypoglycemia.
Atherosclerosis.
Vasospasm.
The Correct Answer is C
Choice A rationale:
Myocarditis is not the most common cause of coronary artery disease (CAD). Myocarditis is an inflammation of the heart muscle, often caused by viral infections or autoimmune reactions. While myocarditis can lead to heart-related symptoms, it is not the primary cause of CAD.
Choice B rationale:
Hypoglycemia is not the most common cause of CAD. Hypoglycemia refers to low blood sugar levels and is not a direct cause of CAD. However, unstable blood sugar levels can affect cardiovascular health, but atherosclerosis remains the primary underlying cause of CAD.
Choice C rationale:
Atherosclerosis is the most common cause of coronary artery disease (CAD). Atherosclerosis is a condition in which the walls of the arteries become clogged with fatty deposits, leading to the narrowing of the arteries. This narrowing restricts blood flow to the heart muscle, resulting in the characteristic symptoms of CAD, such as angina and heart attacks. Atherosclerosis is a major risk factor for CAD and is influenced by factors like high blood pressure, high cholesterol levels, smoking, and diabetes.
Choice D rationale:
Vasospasm is not the most common cause of CAD. Vasospasm, also known as coronary artery vasospasm or Prinzmetal's angina, is a condition characterized by transient, sudden narrowing of the coronary arteries. While it can lead to chest pain similar to angina, it is not as common as atherosclerosis in causing CAD. Vasospasm is often associated with certain triggers, such as smoking or drug use, and may occur in addition to atherosclerosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A temporary increase in contractile activity would not typically occur in the myocardial cells surrounding a myocardial infarction. During a myocardial infarction, the affected area of the heart experiences a lack of blood supply, leading to cell damage. The damaged cells cannot increase contractile activity; instead, they may become dysfunctional or die.
Choice B rationale:
An increased metabolism is not a characteristic change in myocardial cells surrounding a myocardial infarction. The infarcted area often experiences reduced metabolism due to reduced blood flow and oxygen supply, leading to cellular damage and dysfunction.
Choice D rationale:
Necrosis is a common outcome in myocardial cells surrounding an infarct. However, this is not the immediate change that occurs but rather the eventual result of ischemic injury. During an acute myocardial infarction, cellular changes such as inflammation and eventual necrosis take place, leading to tissue damage. Now, let's move on to the next question:
Correct Answer is B
Explanation
Choice A rationale:
A 76-year-old man with congestive heart failure may experience superior vena cava syndrome (SVCS) due to the increased pressure in the superior vena cava, but SVCS is more commonly associated with malignancies that compress or invade the superior vena cava. While this patient may be at risk for SVCS, the woman with bronchogenic cancer in choice B is at higher risk.
Choice B rationale:
The correct choice. Patients with bronchogenic cancer, particularly lung cancer, are at a higher risk of developing superior vena cava syndrome (SVCS) due to tumor invasion or compression of the superior vena cava. SVCS can cause a range of symptoms, including facial and upper body swelling, dilated neck veins, and difficulty breathing.
Choice C rationale:
A 26-year-old woman who has just delivered her first child is unlikely to develop superior vena cava syndrome (SVCS) as a result of childbirth. SVCS is more commonly associated with malignancies or other factors that cause obstruction or compression of the superior vena cava.
Choice D rationale:
A 6-year-old child with severe asthma is less likely to develop SVCS compared to adults, as SVCS is primarily associated with malignancies and other conditions that lead to obstruction of the superior vena cava. While severe asthma can cause respiratory distress, it is not a typical cause of SVCS in children. .
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