Exam 24: Alterations of Cardiovascular Function

A 27-year-old male is admitted to a neurological unit with a complete C-5 spinal cord transection. On initial assessment, he is bradycardic, hypotensive, and hyperventilating. He appears to be going into shock. What is the most likely mechanism of his shock?

For an infection to progress to septic shock, what must occur?

A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down. Other signs include a fever, tachycardia, and a friction rub. Assessment findings support which medical diagnosis?

What is the most common cause of myocardial ischemia?

A 52-year-old is diagnosed with primary hypertension but has no other health problems. What might be the first consideration for managing the condition?

A 49-year-old male presents reporting chest pain. EKG reveals ST elevation. He is diagnosed with myocardial ischemia. Which of the following interventions would be most beneficial?

A 30-year-old female presents to her primary care provider with fever, cardiac murmur, and petechial skin lesions and is diagnosed with infective endocarditis. What is the most likely cause of the disease?

A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distension in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart?

Why do inflammatory cells have difficulty limiting the colonization of micro-organisms in infective endocarditis?

Which condition should cause the nurse to assess for high-output failure in a patient?

What term should the nurse use to document a detached blood clot?

What is one consequence of switching from aerobic to anaerobic cellular metabolism during shock?

A 75-year-old male has severe chest pain and dials 911. Based upon the laboratory findings indicating a patient has elevated levels of cardiac troponins I and T, the nurse suspects which of the following has occurred?

A 72-year-old has a history of hypertension and atherosclerosis. An echocardiogram reveals backflow of blood into the left ventricle. Which of the following is the most likely diagnosis documented on the chart?

A 75-year-old female has been critically ill with multiple organ dysfunction syndrome (MODS) for longer than a week and has developed a severe oxygen supply and demand imbalance. What statement best describes this imbalance?

A patient is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest?

Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunctions?

Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension.

A 10-year-old male presents with fever, lymphadenopathy, arthralgia, and nosebleeds and is diagnosed with rheumatic heart disease. While planning care, which characteristic changes should the nurse remember?

A 20-year-old female is being admitted to the hospital with fever and septic shock. Which set of assessment findings would the nurse expect the patient to exhibit?