While reading a patient's history, which finding will cause the nurse to assess the patient for both valvular stenosis and regurgitation?
Rheumatic heart disease.
Syphilis infection.
Connective tissue disorders.
Heart failure.
The Correct Answer is C
Choice A rationale:
Rheumatic heart disease can lead to valvular stenosis and regurgitation, but the question asks for a finding that will cause the nurse to assess the patient for both valvular stenosis and regurgitation. While rheumatic heart disease can affect the heart valves, it may predominantly lead to stenosis or regurgitation, not both simultaneously. Connective tissue disorders are more likely to affect multiple heart valves, causing both stenosis and regurgitation.
Choice B rationale:
Syphilis infection can cause syphilitic aortitis, which can lead to aortic valve regurgitation, but it doesn't commonly result in stenosis of heart valves. The question specifies assessing the patient for both valvular stenosis and regurgitation, so connective tissue disorders are a more appropriate choice as they can affect multiple valves simultaneously.
Choice C rationale:
Connective tissue disorders, such as Marfan syndrome or Ehlers-Danlos syndrome, can lead to structural abnormalities in heart valves, causing both valvular stenosis and regurgitation. These conditions affect the connective tissues that provide support to heart valves, leading to their dysfunction. Therefore, when a nurse finds a patient with a connective tissue disorder in their history, it's important to assess the patient for both types of valve dysfunction.
Choice D rationale:
Heart failure is a general term for the inability of the heart to pump blood effectively. While heart failure can lead to valvular abnormalities over time, it is not the primary condition that causes both valvular stenosis and regurgitation. Connective tissue disorders are more specifically associated with these structural heart valve abnormalities. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
High LDL (low-density lipoprotein) levels are a well-established risk factor for atherosclerosis. Elevated LDL cholesterol can lead to the deposition of cholesterol in the arterial walls, promoting the development of atherosclerotic plaques. Typically, an LDL level above 130 mg/dL is considered high.
Choice B rationale:
Low LDL levels are generally considered beneficial and are not associated with a higher risk of atherosclerosis. Lower LDL levels can be achieved through lifestyle modifications or medication and are often recommended for cardiovascular health.
Choice C rationale:
High HDL (high-density lipoprotein) levels are associated with a lower risk of atherosclerosis. HDL is considered "good" cholesterol because it helps remove excess cholesterol from the arteries. High HDL levels are typically desirable for cardiovascular health.
Choice D rationale:
Low triglyceride levels are not a primary risk factor for atherosclerosis. Elevated triglyceride levels can be associated with metabolic syndrome and other cardiovascular risk factors, but they are not as directly linked to atherosclerosis as high LDL levels.
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