NUR 114 Coronary Artery Disease Review Questions and Correct Answers
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Course
NUR 114
Institution
NUR 114
The male client is diagnosed with a coronary artery disease and is prescribed sublingual nitroglycerin. Which statement indicates the client needs more teaching? 1. "I should keep the tablets and dark-colored bottles they came in." 2. "If the tablets do not burn under my tongue they are not effecti...
NUR 114 Coronary Artery Disease
Review Questions and Correct Answers
The male client is diagnosed with a coronary artery disease and is prescribed sublingual
nitroglycerin. Which statement indicates the client needs more teaching?
1. "I should keep the tablets and dark-colored bottles they came in."
2. "If the tablets do not burn under my tongue they are not effective."
3. "I should keep the bottle with me in my pocket at all times."
4. "If my chest pain is not gone with 1 tablet, I will go to the ER." ✅4. The client should
take one tablet every 5 minutes and, if no relief occurs after the third tablet, have drive
him to the emergency department or call 911.
The client with coronary artery disease asks the nurse, "why do I get chest pain?"
Which statement would be the most appropriate response by the nurse?
1. Chest pain is caused by decreased oxygen to the heart muscle.
2. There is ischemia to the myocardium as a result of hypoxemia.
3. The heart muscle is unable to pump effectively to perfuse to the body.
4. Chest pain occurs when the lung cannot adequately oxygenate the blood. ✅1. This
is a correct statement presented in layman's terms when the coronary artery cannot
Supply adequate oxygen to the heart muscle, there is chest pain.
The client is scheduled for right femoral cardiac catheterization. Which nursing
intervention should the nurse Implement after the procedure?
1. Perform passive range of motion exercises.
2. Assess the client's neurovascular status.
3. Keep the client in a high Fowler's position.
4. Assess the gag reflex prior to feeding the client. ✅2. The nurse must make sure that
blood is circulating to the right leg so the client should be assessed for pulses,
paresthesia, paralysis, coldness, and pallor.
The nurse is preparing to administer a beta-blocker to the client diagnosed with
coronary artery disease. Which assessment data would cause the nurse to question
administering the medication?
1. The client has a BP of 100 over 70.
2. The client has an apical pulse of 56.
3. The client complaining of a headache.
4. The client's potassium level is 4.5 mEq/L ✅2. A beta-blocker decreases sympathetic
stimulation to the heart, thereby decreasing the heart rate. And apical rate of less than
60 indicates a lower than normal heart rate and should make the nurse question when
administering this medication because it will further decrease the heart rate.
Which intervention should the nurse implement when administering a loop diuretic to a
client diagnosed with coronary artery disease?
1. Assess the client's radial pulse.
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