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Coronary Artery Disease and Acute Coronary Syndrome nclex questions n answers
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Coronary Artery Disease and AcuteCoronary Syndrome nclex questions n
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When developing a health teaching plan for a 65-year-old patient with all these risk factors for coronary
artery disease (CAD), the nurse will focus on the __________ - correct answer ✔✔low activity level the
patient reports.
To assist the patient with CAD to make the appropriate dietary changes, which of these nursing
interventions will be most effective? - correct answer ✔✔Assist the patient to modify favorite high-fat
recipes by using monosaturated oils when possible.
The nurse is admitting a patient who is complaining of chest pain to the emergency department (ED).
Which information collected by the nurse suggests that the pain is caused by an acute myocardial
infarction (AMI)? - correct answer ✔✔The pain has persisted longer than 30 minutes.
A patient is admitted to the ED after an episode of severe chest pain, and the physician schedules the
patient for coronary angiography and possible percutaneous coronary intervention (PCI). The nurse
prepares the patient for the procedure by explaining that it is used to ________________________ -
correct answer ✔✔visualize any coronary artery blockages and dilate any obstructed arteries.
Which information given by a patient admitted with chronic stable angina will help the nurse confirm
this diagnosis? - correct answer ✔✔The patient indicates that the pain is resolved after taking one
sublingual nitroglycerin tablet.
Which electrocardiographic (ECG) change will be of most concern to the nurse when admitting a patient
with chest pain? - correct answer ✔✔ST-segment elevation
When caring for a patient with ACS who has returned to the coronary care unit after having a PCI, the
nurse obtains these assessment data. Which data indicate the need for immediate intervention by the
nurse? - correct answer ✔✔Chest pain level 8 on a 10-point scale
,In developing a teaching plan for a patient who has stable angina and is started on sublingual
nitroglycerin (Nitrostat), the nurse identifies an expected patient outcome of - correct answer
✔✔identifying the need to call the emergency medical services (EMS) if chest pain persists 5 minutes
after taking nitroglycerin.
Which of these statements made by a patient after the nurse has completed teaching about the TLC diet
indicates that further teaching is needed? - correct answer ✔✔"I will miss being able to eat peanut
butter sandwiches."
After the nurse teaches the patient about the use of atenolol (Tenormin) in preventing anginal episodes,
which statement by a patient indicates that the teaching has been effective? - correct answer ✔✔"It is
important not to suddenly stop taking the atenolol."
A patient who has had severe chest pain for the last 4 hours is admitted with a diagnosis of possible AMI.
Which of these ordered laboratory tests should the nurse monitor to help determine whether the
patient has had an MI? - correct answer ✔✔Troponin levels
Nifedipine (Procardia) is ordered for a patient with newly diagnosed Prinzmetal's (variant) angina. When
teaching the patient, the nurse will include the information that Procardia will ____________ - correct
answer ✔✔decrease spasm of the coronary arteries.
A patient with chronic stable angina is being treated with metoprolol (Lopressor). The nurse will suspect
that the patient is experiencing a side effect of the metoprolol if __________________ - correct answer
✔✔the cardiac monitor shows a heart rate of 45.
Nadolol (Corgard) is prescribed for a patient with angina. In evaluating the effectiveness of the drug, the
nurse will monitor for _________________ - correct answer ✔✔ability to do daily activities without
chest discomfort.
A patient admitted to the coronary care unit (CCU) with an MI and frequent premature ventricular
contractions (PVCs) has health care provider orders for continuous amiodarone infusion, IV nitroglycerin
infusion, and morphine sulfate 2 mg IV every 10 minutes until there is relief of pain. The patient says,
"This is the worst pain I have ever had. Am I going to die?" Based on these data, the nurse identifies a
priority nursing diagnosis of ___________________ - correct answer ✔✔acute pain related to
myocardial ischemia.
, A patient with a non-ST segment elevation myocardial infarction (NSTEMI) is receiving heparin. What is
the purpose of the heparin? - correct answer ✔✔Heparin will prevent the development of clots in the
coronary arteries.
While admitting a patient with an AMI, which action should the nurse carry out first? - correct answer
✔✔Attach the cardiac monitor.
The nurse administers IV nitroglycerin to a patient with an MI. In evaluating the effect of this
intervention, the nurse should monitor for _______________ - correct answer ✔✔relief of chest
discomfort.
A patient with ST-segment elevation in several ECG leads is admitted to the ED and diagnosed as having
an AMI. Which question should the nurse ask to determine whether the patient is a candidate for
fibrinolytic therapy? - correct answer ✔✔"What time did your chest pain begin?"
Following an AMI, a patient ambulates in the hospital hallway. When the nurse is evaluating the patient's
response, which of these assessment data would indicate that the exercise level should be decreased? -
correct answer ✔✔Heart rate increases from 66 to 90 beats/min.
During the administration of the fibrinolytic agent to a patient with an AMI, the nurse should stop the
drug infusion if the patient experiences _______________ - correct answer ✔✔a decrease in level of
consciousness.
A patient is receiving fibrinolytic therapy 2 hours after developing an AMI. Which assessment
information will be of most concern to the nurse? - correct answer ✔✔No change in the patient's chest
pain
Three days after an MI, the patient develops chest pain that radiates to the back and left arm and is
relieved by sitting in a forward position. On auscultation of the patient's chest, the nurse would expect to
hear a ____________ - correct answer ✔✔pericardial friction rub.
After the nurse teaches a patient with chronic stable angina about how to use the prescribed nitrates,
which statement by the patient indicates that the teaching has been effective? - correct answer ✔✔"I
will stop what I am doing and sit down before I put the nitroglycerin under my tongue."
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