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Chapter 96: Pulmonary Hypertension
from TEST BANK; Buttaro: Primary Care Interprofessional Collaborative Practice 6TH EDITION. All Chapters
by StudyGuide
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
Multiple Choice
1. A patient with increased left-sided heart pressure will have which type of pulmonary hypertension?
a. Group 2 b. Group 3 c. Group 4 d. Group 5
ANS: A a. Left ventricular dysfunction b. Right ventricular dysfunction c. Tricuspid valve involvement d. Mitral valve involvement
Group 2 pulmonary hypertension is associated with increased left-sided heart pressure.
2. A patient who experienced mild pulmonary hypertension with a previously loud second heart sound on exam now demonstrates edema and jugular vein distension. This indicates which complication?
ANS: B
Right ventricular dysfunction occurs as the disease worsens with manifestations that include jugular vein distension, edema, and increased liver size. These symptoms do not indicate left ventricular dysfunction or valvular involvement.
NURSINGTB.COM a. An inhaled prostanoid b. Bosentan c. Epoprostenol d. Trepostinil
3. A patient diagnosed with pulmonary arterial hypertension (PAH) has increased dyspnea with activity. Which medication may be prescribed to manage symptom on an outpatient basis?
ANS: B
Bosentan helps promote pulmonary artery smooth muscle cell proliferation and improves exercise capacity. It is also given PO, so is easy to give on an outpatient basis. Inhaled prostanoids have a short half-life and must be given 6 to 9 times daily. Epoprostenol has a short half-life and must be given IV. Trepostinil is given IV.
