Deck 21: Nutrition and Disorders of the Heart and Blood Vessels

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Question
Short-lived ischemic strokes (TIAs) are a warning sign that a more severe stroke may follow, and they need to be evaluated and treated quickly.​
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Question
Atherosclerosis is dangerous to arterial function because _____.​

A) ​it causes decreased blood pressure on artery walls
B) ​it increases arterial elasticity
C) ​it narrows the arterial lumen so a clot can easily block it
D) ​it changes the heart rate
E) ​it diminishes central circulation while increasing circulation to the extremities
Question
Adaptive utensils and adequate training enable some people with feeding disabilities to be independent.​
Question
People with metabolic syndrome and type 2 diabetes often have small, dense LDL, elevated VLDL levels, and low HDL levels.​
Question
Researchers have determined that chronic inflammation promotes the development of atherosclerosis.​
Question
The risk of atherosclerosis increases with which factor(s)?​

A) ​smoking
B) ​exercise
C) ​hypotension
D) ​excess sun exposure
E) ​insufficient vaccinations
Question
A person who needs to restrict her sodium intake because of hypertension should avoid foods such as cottage cheese, American cheese, and Parmesan cheese.​
Question
Several of the major risk factors for CHD can be modified by diet and activity.​
Question
The DASH diet is useful for treating hypertension and also reduces the risk of CHD.​
Question
The number of deaths from CVD is greater among men than women.​
Question
The plaque that develops from atherosclerosis is made up of _____.​

A) ​red blood cells
B) ​high-density lipoproteins
C) ​fibrous connective tissue
D) ​white blood cells
E) ​enzymes
Question
In order to assess a person's risk for CHD, a complete lipoprotein profile should be obtained every five years beginning at age _____.​

A) ​15
B) ​20
C) ​35
D) ​45
E) ​50
Question
Deprivation of oxygen and nutrients to the heart can cause a myocardial infarction.​
Question
​Diseases of the heart and blood vessels are collectively referred to as _____.

A) ​coronary artery disease
B) ​cardiovascular disease
C) ​coronary heart disease
D) ​ischemic heart disease
E) ​coronary vessel disease
Question
Ischemia refers to a deficiency of blood and oxygen delivery to the tissues.​
Question
Cardiovascular diseases are the leading cause of death in both Europe and the United States.​
Question
Cardiac cachexia associated with heart failure most often develops due to increased levels of pro-inflammatory cytokines and an elevated metabolic rate.​
Question
The primary dietary recommendation for heart failure is protein restriction.​
Question
The most common cause of an aneurysm is high blood pressure.​
Question
Clinical studies suggest that an overweight hypertensive individual can reduce his blood pressure by losing weight.​
Question
Intake of which food currently contributes to about one-quarter of the cholesterol consumed in the U.S. diet?​

A) ​Chicken
B) ​Beef
C) ​Cheese
D) ​Eggs
E) ​Ice cream
Question
Hemorrhagic strokes occur in _____ percent of cases and result from bleeding within the brain.​

A) ​8
B) ​13
C) ​46
D) ​61
E) ​87
Question
Reducing the amount of trans fats in the diet is an effective method of decreasing the risk of CHD. Which food is most likely a source of trans fats?​

A) ​Whole milk
B) ​Fatty fish
C) ​Ice cream
D) ​Hot dogs
E) ​Potato chips
Question
Plant stanols and sterols that help to lower LDL are often added to food products such as _____.​

A) ​margarine
B) ​bread
C) ​milk
D) ​cereal
E) ​yogurt
Question
What type of drug therapy may be given immediately after a heart attack?​

A) ​thrombolytic drugs
B) ​antibiotics
C) ​diuretics
D) ​antilipemic drugs
E) ​corticosteroids
Question
Compared to the typical American diet, the DASH diet provides _____.​

A) ​more fruits and vegetables
B) ​fewer dairy products
C) ​fewer whole grains
D) ​more meat and poultry
E) ​more saturated fats
Question
Desirable resting systolic blood pressure for adults is _____.​

A) ​ <105 mmHg
B) ​<110 mmHg
C) ​<120 mmHg
D) ​<130 mmHg
E) ​<140 mmHg
Question
Severe malnutrition that develops as a consequence of heart failure is called _____.​

A) ​cardiomyopathy
B) ​cardiomegaly
C) ​cardiac cachexia
D) ​tachycardia
E) ​endocarditis
Question
What dietary factor raises triglyceride levels?​

A) ​High refined carbohydrate intake
B) ​Low soluble fiber intake
C) ​High protein intake
D) ​Low fat intake
E) ​High iron intake
Question
How much fish does the American Heart Association recommend consuming per week to minimize the risk of CHD?​

A) ​one or more servings of fatty fish
B) ​two or more servings of fatty fish
C) ​three or more servings of fatty fish
D) ​two servings of fatty fish or one fish oil supplement
E) ​four servings of fatty fish or one fish oil supplement
Question
In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and _____.​

A) ​damage from cigarette smoking
B) ​inflammation
C) ​gastrointestinal motility disorders
D) ​blood clots
E) ​insulin resistance
Question
For individuals with elevated LDL, current guidelines suggest limiting saturated fat intake to less than _____ percent of the total kcalories consumed.​

A) ​2
B) ​4
C) ​5
D) ​7
E) ​10
Question
What outcome from a stroke would most likely affect a patient's nutrition status?​

A) ​Headache
B) ​Breathing difficulties
C) ​Dysphagia
D) ​Urinary retention
E) ​Confusion
Question
Foods or supplements that contain significant amounts of plant sterols can help to lower LDL cholesterol levels by _____.​

A) ​interfering with cholesterol and bile absorption
B) ​reducing cholesterol synthesis in the liver
C) ​suppressing inflammation
D) ​reducing blood clotting
E) ​replacing intake of total cholesterol
Question
A patient who is following a low-sodium diet should avoid _____.​

A) ​canned fruit
B) ​fresh meat
C) ​tomato-based products
D) ​milk
E) ​tortillas
Question
Clinical trials have shown that a daily intake of _____ grams of fish oil supplements (EPA and DHA combined) taken under the supervision of a physician can lower triglyceride levels.​

A) ​1 to 2
B) ​3 to 4
C) ​4 to 6
D) ​5 to 8
E) ​10 to 12
Question
​A common side effect of diuretic medications is _____.

A) ​urinary tract infection
B) ​nausea
C) ​increased taste perception
D) ​increased appetite
E) ​dry mouth
Question
What best describes a component of the DASH diet for a person who needs 2000 kcal/day?​

A) ​10-11 servings of grain
B) ​6 servings of vegetables
C) ​9 oz. or less of meat or poultry
D) ​4 servings of fats and oils
E) ​2-3 servings of dairy products
Question
What has been shown to increase the effectiveness of the DASH diet?​

A) ​Low sodium intake
B) ​High protein intake
C) ​Supplements of the water-soluble vitamins
D) ​Low potassium intake
E) ​Iron supplements
Question
Low levels of high-density lipoproteins (HDL) are _____.​

A) ​affiliated with hypertension and hemorrhagic stroke
B) ​associated with underweight
C) ​not a good predictor of CHD risk
D) ​more prevalent in females
E) ​highly predictive of CHD risk
Question
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

How many diet-related major risk factors for coronary heart disease does Mrs. Winslow have?​

A) ​1
B) ​2
C) ​3
D) ​4
E) ​5
Question
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
Carmen discovers that the DASH diet contains more fiber and ____ compared to that of the typical American diet.​

A) ​potassium
B) ​iron
C) ​vitamin D
D) ​sodium
E) ​vitamin C
Question
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
Carmen's daily sodium intake should not exceed _____ milligrams, as the DASH Eating Plan is even more effective when accompanied by a low sodium intake.​

A) ​1000
B) ​1500
C) ​2000
D) ​2500
E) ​3000
Question
​Which team member works with the client to evaluate the need for special feeding devices and then teaches the client how to use the device?

A) ​speech-language pathologist
B) ​physical therapist
C) ​occupational therapist
D) ​dietitian
E) ​dietetic technician
Question
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

​Mrs. Winslow has been advised to increase her intake of soluble fiber. What food is an example of a source of soluble fiber?

A) ​Bran cereal
B) ​Carrots
C) ​Raisins
D) ​Potatoes with skin
E) ​Oatmeal
Question
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

To reduce her risk of CHD, Mrs. Winslow's LDL should be:​

A) ​<100 mg/dL
B) ​<120 mg/dL
C) ​<135 mg/dL
D) ​<150 mg/dL
E) ​<160 mg/dL
Question
Mrs. Smith is a 59-year-old African-American female who is 5' 2" tall and weighs 180 pounds. She is a smoker who engages in no physical activity, and her diet history shows a high intake of saturated fat and sodium as well as excess kcalories. Her lipid profile shows elevated LDL and decreased levels of HDL. In order to raise her HDL levels, the nurse recommends that Mrs. Smith _____.​

A) ​quit smoking
B) ​control her blood pressure
C) ​consume less sodium
D) ​take fish oils
E) ​monitor her blood glucose levels
Question
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
If Carmen closely follows the DASH Eating Plan, she can expect to see how much of a reduction in her systolic blood pressure?​

A) ​1-3 mmHg
B) ​5-6 mmHg
C) ​7-10 mmHg
D) ​10-12 mmHg
E) ​12-15 mmHg
Question
Which substance would most likely need to be restricted in patients with heart failure who use diuretics in order to help reduce fluid retention?​

A) ​calcium
B) ​potassium
C) ​magnesium
D) ​chloride
E) ​sodium
Question
A nurse is working with a family who is concerned that their father is at risk of having a stroke. What is a risk factor for stroke that the nurse should include when educating this family?​

A) ​Male gender
B) ​Physical inactivity
C) ​Elevated HDL cholesterol
D) ​Increased intake of sugar
E) ​A history of a brain tumor
Question
A patient's lipid profile shows elevated total cholesterol and LDL. The nurse recommends which nutrition interventions to help the patient manage his cholesterol?​

A) ​Eat less fiber.
B) ​Consume less saturated fat.
C) ​Consume less polyunsaturated fat.
D) ​Eat more protein.
E) ​Consume more trans fats.
Question
The client asks the nurse about the effects of physical activity on CHD risk. The nurse should tell the patient that _____.​

A) ​physical activity is not important in a program to reduce CHD risk
B) ​weight training can dramatically raise HDL if undertaken regularly
C) ​diet, rather than physical activity, should be the primary focus of reducing CHD risk
D) ​diet is ineffective against CHD risk if physical activity is not included in lifestyle changes
E) ​30 minutes of moderate exercise on most days can reverse many risk factors for CHD
Question
People with tremors, spasticity, and uneven or jerky movements may benefit from the use of _____.​

A) ​a rocker knife
B) ​a cutout plastic cup
C) ​weighted utensils
D) ​a battery-powered feeding machine
E) ​a flexible straw
Question
The nurse recognizes that an effective way to lower LDL cholesterol levels through meal preparation and intake is to _____.​

A) ​use reduced-fat margarine
B) ​use margarines made with plant sterols
C) ​switch from butter to margarine
D) ​use butter instead of margarine
E) ​use solid vegetable shortening instead of margarine
Question
People with only one arm or hand may benefit from using a _____ when eating.​

A) ​utensil holder
B) ​rocker knife
C) ​flexible straw
D) ​two-handed cup
E) ​dish with suction cups
Question
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

What level of risk would Mrs. Winslow's HDL level be classified as?​

A) ​no risk
B) ​desirable
C) ​borderline risk
D) ​high risk
E) ​very high risk
Question
Because of diuretic use and reduced physical activity, patients with heart failure are at higher risk of _____.​

A) ​diarrhea
B) ​pressure sores
C) ​infection
D) ​constipation
E) ​delayed wound healing
Question
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
In order to follow the DASH Diet, Carmen should limit _____.​

A) ​fatty fish
B) ​sugar-containing beverages
C) ​starchy vegetables
D) ​lactose-containing beverages
E) ​red meat
Question
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

Based on her 24-hour recall, which dietary recommendation is appropriate for Mrs. Winslow if she is to lower her blood lipids with diet alone?​

A) ​Eat more whole grains, legumes, fruits, and vegetables.
B) ​Drink less milk and eat less ice cream.
C) ​Choose foods high in insoluble fibers.
D) ​Eat fewer carbohydrates and choose more high-protein foods.
E) ​Limit alcohol intake to no more than two drinks per day.
Question
A patient's lab work shows severe hypertriglyceridemia with blood triglycerides of 1075 mg/dL. The nurse understands that the patient's fat intake should be limited to _____% of kcalories per day in order to prevent dangerous complications.​

A) ​5
B) ​15
C) ​20
D) ​35
E) ​40
Question
The nurse is instructing a client on a diet for the treatment of his hypertension. The nurse recognizes that the client understands his diet when he says _____.​

A) ​"I can freely use salt substitutes and low-sodium products"
B) ​"I can eat any foods I want in moderate amounts"
C) ​"I need to increase my intake of fresh fruits, vegetables, whole grains, and milk products"
D) ​"I don't need to be concerned about the amount of alcohol I drink"
E) ​"I can eat what I want as long as I exercise"
Question
A patient has begun taking furosemide to manage heart failure. What food should the nurse recommend that the patient consume frequently while taking this drug?​

A) ​legumes
B) ​peanut butter
C) ​bananas
D) ​milk
E) ​cabbage
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​coronary heart disease
Question
A patient with heart failure has developed cardiac cachexia as a result of the disease. The nurse understands that which medication would most likely be effective to reverse cardiac cachexia?​

A) ​Digoxin
B) ​Furosemide
C) ​Nicotinic acid
D) ​Spironolactone
E) ​There is no treatment for cardiac cachexia.
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
cardiac arrhythmias
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
hypertriglyceridemia
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​atherogenic
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
stroke​
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​ischemia
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
homocysteine
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
endothelial cells​
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
hemorrhagic strokes
Question
A nurse is caring for a patient who was brought to the hospital after suffering a stroke. Ideally, thrombolytic drugs should be used within _____ hours following an ischemic stroke to restore blood flow and prevent further brain damage.​

A) ​1
B) ​2.5
C) ​4.5
D) ​8
E) ​12
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
embolus​
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​aneurysm
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​thrombosis
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
ischemic strokes
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​myocardial infarction
Question
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
cardiac output
Question
The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. The nurse understands that the best way to ensure adequate nutrition for the patient may be _____.​

A) ​to have an aid feed her each meal
B) ​to provide tube feedings for the patient
C) ​to ask a family member to be present at each meal
D) ​to place the patient on TPN
E) ​to change the patient's status to NPO until another solution can be found
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Deck 21: Nutrition and Disorders of the Heart and Blood Vessels
1
Short-lived ischemic strokes (TIAs) are a warning sign that a more severe stroke may follow, and they need to be evaluated and treated quickly.​
True
2
Atherosclerosis is dangerous to arterial function because _____.​

A) ​it causes decreased blood pressure on artery walls
B) ​it increases arterial elasticity
C) ​it narrows the arterial lumen so a clot can easily block it
D) ​it changes the heart rate
E) ​it diminishes central circulation while increasing circulation to the extremities
C
3
Adaptive utensils and adequate training enable some people with feeding disabilities to be independent.​
True
4
People with metabolic syndrome and type 2 diabetes often have small, dense LDL, elevated VLDL levels, and low HDL levels.​
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5
Researchers have determined that chronic inflammation promotes the development of atherosclerosis.​
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6
The risk of atherosclerosis increases with which factor(s)?​

A) ​smoking
B) ​exercise
C) ​hypotension
D) ​excess sun exposure
E) ​insufficient vaccinations
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7
A person who needs to restrict her sodium intake because of hypertension should avoid foods such as cottage cheese, American cheese, and Parmesan cheese.​
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8
Several of the major risk factors for CHD can be modified by diet and activity.​
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9
The DASH diet is useful for treating hypertension and also reduces the risk of CHD.​
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10
The number of deaths from CVD is greater among men than women.​
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11
The plaque that develops from atherosclerosis is made up of _____.​

A) ​red blood cells
B) ​high-density lipoproteins
C) ​fibrous connective tissue
D) ​white blood cells
E) ​enzymes
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12
In order to assess a person's risk for CHD, a complete lipoprotein profile should be obtained every five years beginning at age _____.​

A) ​15
B) ​20
C) ​35
D) ​45
E) ​50
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13
Deprivation of oxygen and nutrients to the heart can cause a myocardial infarction.​
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14
​Diseases of the heart and blood vessels are collectively referred to as _____.

A) ​coronary artery disease
B) ​cardiovascular disease
C) ​coronary heart disease
D) ​ischemic heart disease
E) ​coronary vessel disease
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15
Ischemia refers to a deficiency of blood and oxygen delivery to the tissues.​
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16
Cardiovascular diseases are the leading cause of death in both Europe and the United States.​
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17
Cardiac cachexia associated with heart failure most often develops due to increased levels of pro-inflammatory cytokines and an elevated metabolic rate.​
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18
The primary dietary recommendation for heart failure is protein restriction.​
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19
The most common cause of an aneurysm is high blood pressure.​
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20
Clinical studies suggest that an overweight hypertensive individual can reduce his blood pressure by losing weight.​
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21
Intake of which food currently contributes to about one-quarter of the cholesterol consumed in the U.S. diet?​

A) ​Chicken
B) ​Beef
C) ​Cheese
D) ​Eggs
E) ​Ice cream
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22
Hemorrhagic strokes occur in _____ percent of cases and result from bleeding within the brain.​

A) ​8
B) ​13
C) ​46
D) ​61
E) ​87
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23
Reducing the amount of trans fats in the diet is an effective method of decreasing the risk of CHD. Which food is most likely a source of trans fats?​

A) ​Whole milk
B) ​Fatty fish
C) ​Ice cream
D) ​Hot dogs
E) ​Potato chips
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24
Plant stanols and sterols that help to lower LDL are often added to food products such as _____.​

A) ​margarine
B) ​bread
C) ​milk
D) ​cereal
E) ​yogurt
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25
What type of drug therapy may be given immediately after a heart attack?​

A) ​thrombolytic drugs
B) ​antibiotics
C) ​diuretics
D) ​antilipemic drugs
E) ​corticosteroids
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26
Compared to the typical American diet, the DASH diet provides _____.​

A) ​more fruits and vegetables
B) ​fewer dairy products
C) ​fewer whole grains
D) ​more meat and poultry
E) ​more saturated fats
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27
Desirable resting systolic blood pressure for adults is _____.​

A) ​ <105 mmHg
B) ​<110 mmHg
C) ​<120 mmHg
D) ​<130 mmHg
E) ​<140 mmHg
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28
Severe malnutrition that develops as a consequence of heart failure is called _____.​

A) ​cardiomyopathy
B) ​cardiomegaly
C) ​cardiac cachexia
D) ​tachycardia
E) ​endocarditis
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29
What dietary factor raises triglyceride levels?​

A) ​High refined carbohydrate intake
B) ​Low soluble fiber intake
C) ​High protein intake
D) ​Low fat intake
E) ​High iron intake
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30
How much fish does the American Heart Association recommend consuming per week to minimize the risk of CHD?​

A) ​one or more servings of fatty fish
B) ​two or more servings of fatty fish
C) ​three or more servings of fatty fish
D) ​two servings of fatty fish or one fish oil supplement
E) ​four servings of fatty fish or one fish oil supplement
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31
In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and _____.​

A) ​damage from cigarette smoking
B) ​inflammation
C) ​gastrointestinal motility disorders
D) ​blood clots
E) ​insulin resistance
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32
For individuals with elevated LDL, current guidelines suggest limiting saturated fat intake to less than _____ percent of the total kcalories consumed.​

A) ​2
B) ​4
C) ​5
D) ​7
E) ​10
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33
What outcome from a stroke would most likely affect a patient's nutrition status?​

A) ​Headache
B) ​Breathing difficulties
C) ​Dysphagia
D) ​Urinary retention
E) ​Confusion
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34
Foods or supplements that contain significant amounts of plant sterols can help to lower LDL cholesterol levels by _____.​

A) ​interfering with cholesterol and bile absorption
B) ​reducing cholesterol synthesis in the liver
C) ​suppressing inflammation
D) ​reducing blood clotting
E) ​replacing intake of total cholesterol
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35
A patient who is following a low-sodium diet should avoid _____.​

A) ​canned fruit
B) ​fresh meat
C) ​tomato-based products
D) ​milk
E) ​tortillas
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36
Clinical trials have shown that a daily intake of _____ grams of fish oil supplements (EPA and DHA combined) taken under the supervision of a physician can lower triglyceride levels.​

A) ​1 to 2
B) ​3 to 4
C) ​4 to 6
D) ​5 to 8
E) ​10 to 12
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37
​A common side effect of diuretic medications is _____.

A) ​urinary tract infection
B) ​nausea
C) ​increased taste perception
D) ​increased appetite
E) ​dry mouth
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38
What best describes a component of the DASH diet for a person who needs 2000 kcal/day?​

A) ​10-11 servings of grain
B) ​6 servings of vegetables
C) ​9 oz. or less of meat or poultry
D) ​4 servings of fats and oils
E) ​2-3 servings of dairy products
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39
What has been shown to increase the effectiveness of the DASH diet?​

A) ​Low sodium intake
B) ​High protein intake
C) ​Supplements of the water-soluble vitamins
D) ​Low potassium intake
E) ​Iron supplements
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40
Low levels of high-density lipoproteins (HDL) are _____.​

A) ​affiliated with hypertension and hemorrhagic stroke
B) ​associated with underweight
C) ​not a good predictor of CHD risk
D) ​more prevalent in females
E) ​highly predictive of CHD risk
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41
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

How many diet-related major risk factors for coronary heart disease does Mrs. Winslow have?​

A) ​1
B) ​2
C) ​3
D) ​4
E) ​5
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42
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
Carmen discovers that the DASH diet contains more fiber and ____ compared to that of the typical American diet.​

A) ​potassium
B) ​iron
C) ​vitamin D
D) ​sodium
E) ​vitamin C
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43
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
Carmen's daily sodium intake should not exceed _____ milligrams, as the DASH Eating Plan is even more effective when accompanied by a low sodium intake.​

A) ​1000
B) ​1500
C) ​2000
D) ​2500
E) ​3000
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44
​Which team member works with the client to evaluate the need for special feeding devices and then teaches the client how to use the device?

A) ​speech-language pathologist
B) ​physical therapist
C) ​occupational therapist
D) ​dietitian
E) ​dietetic technician
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45
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

​Mrs. Winslow has been advised to increase her intake of soluble fiber. What food is an example of a source of soluble fiber?

A) ​Bran cereal
B) ​Carrots
C) ​Raisins
D) ​Potatoes with skin
E) ​Oatmeal
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46
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

To reduce her risk of CHD, Mrs. Winslow's LDL should be:​

A) ​<100 mg/dL
B) ​<120 mg/dL
C) ​<135 mg/dL
D) ​<150 mg/dL
E) ​<160 mg/dL
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47
Mrs. Smith is a 59-year-old African-American female who is 5' 2" tall and weighs 180 pounds. She is a smoker who engages in no physical activity, and her diet history shows a high intake of saturated fat and sodium as well as excess kcalories. Her lipid profile shows elevated LDL and decreased levels of HDL. In order to raise her HDL levels, the nurse recommends that Mrs. Smith _____.​

A) ​quit smoking
B) ​control her blood pressure
C) ​consume less sodium
D) ​take fish oils
E) ​monitor her blood glucose levels
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48
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
If Carmen closely follows the DASH Eating Plan, she can expect to see how much of a reduction in her systolic blood pressure?​

A) ​1-3 mmHg
B) ​5-6 mmHg
C) ​7-10 mmHg
D) ​10-12 mmHg
E) ​12-15 mmHg
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49
Which substance would most likely need to be restricted in patients with heart failure who use diuretics in order to help reduce fluid retention?​

A) ​calcium
B) ​potassium
C) ​magnesium
D) ​chloride
E) ​sodium
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50
A nurse is working with a family who is concerned that their father is at risk of having a stroke. What is a risk factor for stroke that the nurse should include when educating this family?​

A) ​Male gender
B) ​Physical inactivity
C) ​Elevated HDL cholesterol
D) ​Increased intake of sugar
E) ​A history of a brain tumor
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51
A patient's lipid profile shows elevated total cholesterol and LDL. The nurse recommends which nutrition interventions to help the patient manage his cholesterol?​

A) ​Eat less fiber.
B) ​Consume less saturated fat.
C) ​Consume less polyunsaturated fat.
D) ​Eat more protein.
E) ​Consume more trans fats.
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52
The client asks the nurse about the effects of physical activity on CHD risk. The nurse should tell the patient that _____.​

A) ​physical activity is not important in a program to reduce CHD risk
B) ​weight training can dramatically raise HDL if undertaken regularly
C) ​diet, rather than physical activity, should be the primary focus of reducing CHD risk
D) ​diet is ineffective against CHD risk if physical activity is not included in lifestyle changes
E) ​30 minutes of moderate exercise on most days can reverse many risk factors for CHD
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53
People with tremors, spasticity, and uneven or jerky movements may benefit from the use of _____.​

A) ​a rocker knife
B) ​a cutout plastic cup
C) ​weighted utensils
D) ​a battery-powered feeding machine
E) ​a flexible straw
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54
The nurse recognizes that an effective way to lower LDL cholesterol levels through meal preparation and intake is to _____.​

A) ​use reduced-fat margarine
B) ​use margarines made with plant sterols
C) ​switch from butter to margarine
D) ​use butter instead of margarine
E) ​use solid vegetable shortening instead of margarine
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55
People with only one arm or hand may benefit from using a _____ when eating.​

A) ​utensil holder
B) ​rocker knife
C) ​flexible straw
D) ​two-handed cup
E) ​dish with suction cups
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56
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

What level of risk would Mrs. Winslow's HDL level be classified as?​

A) ​no risk
B) ​desirable
C) ​borderline risk
D) ​high risk
E) ​very high risk
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57
Because of diuretic use and reduced physical activity, patients with heart failure are at higher risk of _____.​

A) ​diarrhea
B) ​pressure sores
C) ​infection
D) ​constipation
E) ​delayed wound healing
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58
Carmen, age 34, has had hypertension since she was a teenager, as do many members of her immediate family. At a visit to the doctor one year ago after her twin brother had suffered an acute episode of hypertension requiring hospitalization, Carmen decided to seriously attempt to reduce her sodium and salt intakes. She has successfully mastered a low-sodium diet by: eliminating the use of a salt shaker; ordering fresh, no-salt-added foods in restaurants; avoiding salty condiments; avoiding ready-to-eat foods; and using herbs and salt-free seasonings. She has recently begun reading labels and following portions of the DASH diet. Her doctor tells her to expect a further reduction in her blood pressure if she can master the DASH diet.
In order to follow the DASH Diet, Carmen should limit _____.​

A) ​fatty fish
B) ​sugar-containing beverages
C) ​starchy vegetables
D) ​lactose-containing beverages
E) ​red meat
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59
Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
Lunch: Hamburger pizza, salad with Italian dressing, Coke
Snack: 3 chocolate cookies, 2% milk
Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
Snack: Ice cream

Based on her 24-hour recall, which dietary recommendation is appropriate for Mrs. Winslow if she is to lower her blood lipids with diet alone?​

A) ​Eat more whole grains, legumes, fruits, and vegetables.
B) ​Drink less milk and eat less ice cream.
C) ​Choose foods high in insoluble fibers.
D) ​Eat fewer carbohydrates and choose more high-protein foods.
E) ​Limit alcohol intake to no more than two drinks per day.
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60
A patient's lab work shows severe hypertriglyceridemia with blood triglycerides of 1075 mg/dL. The nurse understands that the patient's fat intake should be limited to _____% of kcalories per day in order to prevent dangerous complications.​

A) ​5
B) ​15
C) ​20
D) ​35
E) ​40
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61
The nurse is instructing a client on a diet for the treatment of his hypertension. The nurse recognizes that the client understands his diet when he says _____.​

A) ​"I can freely use salt substitutes and low-sodium products"
B) ​"I can eat any foods I want in moderate amounts"
C) ​"I need to increase my intake of fresh fruits, vegetables, whole grains, and milk products"
D) ​"I don't need to be concerned about the amount of alcohol I drink"
E) ​"I can eat what I want as long as I exercise"
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62
A patient has begun taking furosemide to manage heart failure. What food should the nurse recommend that the patient consume frequently while taking this drug?​

A) ​legumes
B) ​peanut butter
C) ​bananas
D) ​milk
E) ​cabbage
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63
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​coronary heart disease
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64
A patient with heart failure has developed cardiac cachexia as a result of the disease. The nurse understands that which medication would most likely be effective to reverse cardiac cachexia?​

A) ​Digoxin
B) ​Furosemide
C) ​Nicotinic acid
D) ​Spironolactone
E) ​There is no treatment for cardiac cachexia.
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65
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
cardiac arrhythmias
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66
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
hypertriglyceridemia
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67
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​atherogenic
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68
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
stroke​
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69
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​ischemia
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70
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
homocysteine
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71
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
endothelial cells​
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72
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
hemorrhagic strokes
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73
A nurse is caring for a patient who was brought to the hospital after suffering a stroke. Ideally, thrombolytic drugs should be used within _____ hours following an ischemic stroke to restore blood flow and prevent further brain damage.​

A) ​1
B) ​2.5
C) ​4.5
D) ​8
E) ​12
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74
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
embolus​
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75
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​aneurysm
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76
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​thrombosis
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77
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
ischemic strokes
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78
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
​myocardial infarction
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79
​Matching
a. ​sudden death of brain cells due to impaired blood flow to the brain or rupture of an artery in the brain
b. ​an amino acid produced during the conversion of methionine to cysteine
c. abnormal heart rhythms
d. ​hypertension with an unknown cause
e. ​brief ischemic strokes that cause short-term neurological symptoms
f. ​the formation or presence of a blood clot in blood vessels
g. ​able to initiate or promote atherosclerosis
h. ​a chronic, progressive disease characterized by obstructed blood flow in the coronary arteries
i. ​strokes caused by bleeding within the brain, which destroys or compresses brain tissue
j. ​an abnormal enlargement or bulging of a blood vessel (usually an artery) caused by weakness in the blood vessel wall
k. ​severe malnutrition that develops in heart failure patients
l. ​a condition characterized by the heart's inability to pump adequate blood to the body's cells, resulting in fluid accumulation in the tissues
m. ​inadequate blood supply within a tissue due to obstructed blood flow
n. ​an abnormal particle, such as a blood clot or air bubble, that travels in the blood
o. ​death of heart muscle caused by a sudden obstruction in blood flow
p. ​the volume of blood pumped by the heart within a specified period of time
q. ​elevated blood triglyceride levels
r. ​hypertension that results from a known physiological abnormality
s. ​cells that line the inner surfaces of blood vessels, lymphatic vessels, and body cavities
t. ​strokes caused by the obstruction of blood flow to brain tissue
cardiac output
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80
The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. The nurse understands that the best way to ensure adequate nutrition for the patient may be _____.​

A) ​to have an aid feed her each meal
B) ​to provide tube feedings for the patient
C) ​to ask a family member to be present at each meal
D) ​to place the patient on TPN
E) ​to change the patient's status to NPO until another solution can be found
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Unlock Deck
Unlock for access to all 90 flashcards in this deck.