The nurse is assisting in a seminar for newly licensed nurses, teaching about characteristics of the heart. The nurse shows understanding of the heart when she states that the innermost layer of the heart is called the.
chambers.
pericardium.
epicardium.
endocardium.
The Correct Answer is D
Choice A rationale:
Chambers refer to the four compartments of the heart, not a layer of the heart.
Choice B rationale:
Pericardium is the sac that surrounds the heart, not a layer of the heart itself.
Choice C rationale:
Epicardium is the outermost layer of the heart, not the innermost.
Choice D rationale:
Endocardium is indeed the innermost layer of the heart, lining the inner surfaces of the heart chambers and valves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Swollen, bleeding gums are a common symptom of Vitamin C deficiency, also known as scurvy. Vitamin C is essential for the health of gums and teeth.
Choice B rationale:
Pale, brittle nails are not typically associated with Vitamin C deficiency. They can be a sign of other conditions such as iron deficiency anemia.
Choice C rationale:
Inflammation of the tongue, or glossitis, can be caused by various conditions, including certain vitamin deficiencies, but it’s not a common sign of Vitamin C deficiency.
Choice D rationale:
Dry, red conjunctiva can be a symptom of various eye conditions, but it’s not typically associated with Vitamin C deficiency.
Correct Answer is B
Explanation
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
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