In teaching a pt. about coronary artery disease, the nurse explains that the changes that occur in this
disorder include (select all that apply)
a. diffuse involvement of plaque formation in coronary veins
b. abnormal levels of cholesterol, esp. low-density lipoproteins
c. accumulation of lipid and fibrous tissue within the coronary arteries
d. development of angina due to a decreased blood supply to the heart muscle
e. chronic vasoconstriction of coronary arteries leading to permanent vasospasm - correct answer ✔✔b,
c, d
After teaching about ways to decrease risk factors for CAD, the nurse recognizes that further instruction
is needed when the pt. says
a. "I can keep my BP normal with medication"
b. "I would like to add weight lifting to my exercise program"
c. "I can change my diet to decrease my intake of saturated fats"
d. "I will change my lifestyle to reduce activities that increase my stress" - correct answer ✔✔b
A hospitalized patient w/ a history of chronic stable angina tells the nurse that she is having chest pain.
The nurse bases his actions on the knowledge that ischemia.
a. will always progress to MI
b. can be relieved by rest, NTG, or both
c. is often associated with vomiting and extreme fatigue
d. indicates that irreversible myocardial damage is occurring - correct answer ✔✔b
The nurse is caring for a pt. who is 2 days post MI. The pt. reports that she is experiencing chest pain
when she takes a deep breath. Which action would be a priority?
a. notify the provider STAT and obtain a 12 lead ECG
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