Class IV antidysrhythmics or calcium channel blockers have what action on the cardiovascular system?
Increase blood vessel spasm.
Decrease flow of calcium ions thus decreasing heart rate and contractions.
Decrease refractory period.
Increase heart rate.
The Correct Answer is B
Class IV antidysrhythmics or calcium channel blockers decrease the flow of calcium ions into cardiac and vascular smooth muscle cells, thus decreasing heart rate and contractions. By reducing the calcium influx, they also decrease the slope of phase 0 and 4 and prolong phase 2 of the cardiac action potential. This results in vasodilation, reduced myocardial oxygen demand, and decreased conduction through the AV node.
Choice A is wrong because calcium channel blockers do not increase blood vessel spasm, but rather cause vasodilation.
Choice C is wrong because calcium channel blockers do not decrease refractory period, but rather prolong it by extending phase 2 of the cardiac action potential.
Choice D is wrong because calcium channel blockers do not increase heart rate, but rather decrease it by slowing down the pacemaker activity and AV nodal conduction.
Normal ranges for heart rate are 60 to 100 beats per minute, and for blood pressure are 120/80 mmHg or lower.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.
Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection.It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.
Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex.Sexual activity is one of the common causes of UTI, especially in women.
Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one.Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.
Choice D is correct because female patients should wipe from front to back after using the bathroom.This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.
Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract.Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.
Correct Answer is C
Explanation
Exposure to cold temperatures should be avoided by the patient with peripheral vascular disease such as Raynaud’s disease.
This is because cold temperatures can trigger vasospasm, which is a sudden narrowing of the small arteries in the fingers or toes, limiting blood flow and causing pain, numbness and color changes.
Choice A is wrong because wearing warm mitten gloves can help prevent or reduce the severity of Raynaud’s attacks by keeping the hands warm.
Choice B is wrong because wearing socks can also help protect the feet from cold exposure and prevent or reduce Raynaud’s attacks.
Choice D is wrong because engaging in regular exercise can improve blood circulation and reduce the frequency and duration of Raynaud’s attacks.However, exercise should be done with caution and proper clothing to avoid injury or frostbite to the affected areas.
Normal ranges for peripheral vascular disease are not applicable, as it is a condition that affects the blood vessels and not a specific blood test or measurement.
However, some tests that can help diagnose peripheral vascular disease or its underlying causes are blood pressure measurement, ankle-brachial index, Doppler ultrasound, angiography, blood tests for cholesterol, glucose, clotting factors and inflammatory markers.
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