Deck 43: Cardiovascular Disease in Women

Question 1

On average, how much later in women than in men does cardiovascular disease typically occur?

A) 2 to 4 years
B) 6 to 8 years
C) 10 to 12 years
D) 14 to 16 years

Answer 1

C

Question 2

The lifetime risk at the age of 50 years of women developing cardiovascular disease is which of the following?

A) 9.2%
B) 19.2%
C) 29.2%
D) 39.2%

Answer 2

D

Question 3

Which of the following are modifiable risk factors associated with cardiovascular disease? (Select all that apply.)

A) Male gender
B) Age of 75 years
C) Cigarette smoking
D) Body mass index (BMI) of 31
E) Moderate exercise six times per year

Answer 3

C, D, E

Question 4

Which of the following are psychosocial risk factors associated with cardiovascular disease? (Select all that apply.)

A) Obsessive?compulsive disorder
B) Depression
C) Anxiety
D) Premenstrual dysphoric disorder
E) Emotional stress

Question 5

The nurse must screen a client for the presence of cardiovascular disease (CVD). For which of the following conditions is EKG-stress testing on a treadmill indicated? (Select all that apply.)

A) High risk for CVD
B) Symptoms of typical angina
C) Ability to achieve five metabolic equivalents (METs) of a task
D) Abnormal baseline EKG
E) Family history of CVD

Question 6

Claire, a 45-year-old client, is suspected of having atherosclerosis, and the nurse would like to have her undergo diagnostic testing that will detect and quantify the amount of calcium in her arteries. Which diagnostic test should the nurse select?

A) Exercise electrocardiogram stress testing
B) Computed tomography of the coronary vasculature
C) Cardiovascular magnetic resonance imaging
D) Coronary angiography and cardiac catheterization

Question 7

The nurse takes a blood pressure reading of a 52-year-old client, Hazel, and finds that it is 144/96 mmHg. Hazel has a body mass index (BMI) of 18, smokes, and is sedentary. Which of the following lifestyle recommendations should the nurse make to this client? (Select all that apply.)

A) Lose 10 lb
B) Limit sodium intake to 2,400 mg/d
C) Quit smoking
D) Engage in moderate-to-vigorous aerobic physical activity at least 3 to 4 sessions/wk, for 40 minutes per session
E) Increase intake of red meat

Question 8

Maisie, a 78-year-old client, reports feeling tightness and pain in her chest that occurs when she climbs stairs or walks any distance when shopping. Her symptoms go away after she rests for a few minutes. What condition should the nurse suspect most in Maisie, based on these symptoms?

A) Transient ischemic attack
B) Myocardial infarction
C) Atrial fibrillation
D) Angina pectoris

Question 9

Roberta is a 69-year-old client who reports having had an "episode" recently. She describes temporary symptoms of numbness in her right side, confusion, and difficulty in speaking. She says that she was planning on coming to the hospital about it, but the symptoms cleared up in about 20 minutes and she feel fine now. Which condition should the nurse suspect most in Roberta?

A) Stroke
B) Transient ischemic attack
C) Angina pectoris
D) Atrial fibrillation

Question 10

Women are more likely than men to experience which of the following symptoms in an acute myocardial infarction? (Select all that apply.)

A) Chest pain
B) Nausea
C) Shortness of breath
D) Cold sweats
E) Dizziness

Question 11

A nurse is caring for a client who just presented with signs of stent thrombosis (ST)-elevation myocardial infarction. An emergency angioplasty with stenting procedure has been planned for the client. The nurse knows that this procedure must be initiated on this client within how long since her first contact with the nurse?

A) 30 minutes
B) 60 minutes
C) 90 minutes
D) 120 minutes

Question 12

The nurse is evaluating a client diagnosed with heart failure, who reports severe, persistent symptoms while at rest. Which functional class applies to this client?

A) Class I
B) Class II
C) Class III
D) Class IV

Question 13

Candace, an 86-year-old client, reports a sensation of palpitations, heart racing, and heart flutters in her chest, as well as fatigue and shortness of breath. She was diagnosed with Class II heart failure 6 months ago. Which condition should the nurse suspect most in Candace?

A) Atrial flutter
B) Angina pectoris
C) Transient ischemic attack
D) Mitral valve prolapse

Question 14

When auscultating a client's heart, the nurse hears a high-pitched midsystolic click at the apex of the heart. What condition should the nurse associate with this finding?

A) Mitral regurgitation
B) Mitral valve prolapse
C) Mitral stenosis
D) Aortic regurgitation

Question 15

Which of the following is the most common type of cardiomyopathy and the third leading cause of heart failure in the United States after coronary artery disease and hypertension?

A) Dilated
B) Hypertrophic
C) Restrictive
D) Arrhythmogenic right ventricular