Rose Gomez, 56 years old, is confined in Lourdes Ward with a diagnosis of rheumatic heart disease mitrial stenosis and atrial fibrillation.
36. One of the common complications of rheumatic valvular disease is bacterial endocarditis. Which of the following signs would signal its presence, in this case?
A. Constipation
B. Fever
C. Vertigo
D. Polyuria
37. Which of the following drugs would effectively inhibit fibrillation by prolonging the refractory period of atrial tissue and slowing depolarization?
A. Pronestyl
B. Quinidine
C. Dilantin
D. Atropine sulfate
38. There is an order for application of ratating tourniquet. Which of these steps should not be performed?
A. Rotate tourniquet every 5 minutes
B. Apply tourniquet to three extremities
C. Release all tourniquets simultaneously
D. Establish a baseline blood pressure
39. She has a CVP line installed. Which of the following readings indicate that she is responding to the treatment?
A. 0 to 5 cm H20
B. 11 to 15 cm H20
C. 16 to 20 cm H20
D. 5 to 10 cm H20
40. The following are health teaching for preventing pulmonary edema, except:
A. Increasing physical activity
B. Taking prescribed diuretic drugs
C. Avoidance of emotional stress
D. Sleeping during daytime
