NURS 617 PHARM EXAM 2 ACTUAL
EXAM 2024 NEWEST EXAM
COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES / ALREADY GRADED
A+
A patient is diagnosed with pulmonary disease and
elevated pulmonary vascular resistance. Which form
of heart failure may result from pulmonary disease
and elevated pulmonary vascular resistance?
a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure - ....ANSWER...a. Right heart
failure
,Right heart failure is defined as the inability of the
right ventricle to provide adequate blood flow into
the pulmonary circulation at a normal central
venous pressure. This condition is often a result of
pulmonary disease and the resulting elevated
pulmonary vascular resistance.
What cardiac pathologic condition contributes to
ventricular remodeling?
a. Left ventricular hypertrophy
b. Right ventricular failure
c. Myocardial ischemia
d. Contractile dysfunction - ....ANSWER...c.
Myocardial ischemia
Of the options available, myocardial ischemia
contributes to inflammatory, immune, and
neurohumoral changes that mediate a process
called ventricular remodeling.
What is the cause of the dyspnea resulting from a
thoracic aneurysm?
,a. Pressure on surrounding organs
b. Poor oxygenation
c. Formation of atherosclerotic lesions
d. Impaired blood flow - ....ANSWER...a. Pressure on
surrounding organs
Pressure of a thoracic aneurysm on surrounding
organs cause symptoms of dysphagia (difficulty in
swallowing) and dyspnea (breathlessness).
What is the trigger for angina pectoris?
a. Atherosclerotic lesions
b. Hyperlipidemia
c. Myocardial necrosis
d. Myocardial ischemia - ....ANSWER...d. Myocardial
ischemia
Angina pectoris is chest pain caused by myocardial
ischemia.
What factors contribute to the development of
orthostatic hypotension? (Select all that apply.)
, a. Altered body chemistry
b. Drug action of certain antihypertensive agents
c. Prolonged immobility
d. Effects of aging on postural reflexes
e. Any condition that produces volume overload -
....ANSWER...a. Altered body chemistry
b. Drug action of certain antihypertensive agents
c. Prolonged immobility
d. Effects of aging on postural reflexes
Acute orthostatic hypotension (temporary type) may
result from (1) altered body chemistry, (2) drug
action (e.g., antihypertensives, antidepressants), (3)
prolonged immobility caused by illness, (4)
starvation, (5) physical exhaustion, (6) any condition
that produces volume depletion (e.g., massive
diuresis, potassium or sodium depletion), and (7)
venous pooling (e.g., pregnancy, extensive
varicosities of the lower extremities). Older adults
are susceptible to this type of orthostatic
hypotension, in which postural reflexes are slowed
as part of the aging process.
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