1. When obtaining a health history from a patient with newly diagnosed coronary artery disease, the
nurse recognizes that a modifiable major risk factor for coronary artery disease is present in the patient's
history of
1. When teaching a patient with coronary artery disease about the disease's relationship to elevated
serum lipid levels, the nurse explains that
1. each stage in the development of atherosclerotic lesions involves the presence and effects of fat
substances.
2. hyperlipidemia increases the adhesiveness of platelets, causing platelet plaque formation in arterial
walls.
3. cholesterol and other fatty substances destroy and replace smooth muscle throughout the arteriole
wall.
4. fat globules attract coagulation factors, which injures the arterial endothelium and allows seepage of
clots into the intima layer. - correct answer ✔✔Answer: 1
1. While caring for a patient with angina, the nurse plans interventions that decrease myocardial oxygen
demand and promote coronary blood flow. Appropriate interventions are those that primarily prevent
1. coronary artery spasms.
2. an increase in heart rate.
3. a decreased blood volume.
4. disruption of circadian rhythms. - correct answer ✔✔Answer: 2
, 1. A 45-year-old man is admitted to the emergency room after developing severe chest pain while raking
leaves. On admission he has midchest dullness and a normal ECG. The physician schedules the patient
for cardiac catheterization with coronary angiography and possible percutaneous coronary intervention
(PCI). The nurse prepares the patient for the procedure by explaining that, in his case, it is used to
1. determine whether there are any structural defects in the walls or chambers of his heart.
2. determine whether any obstructions are present in his coronary arteries and to test for an allergy to
thrombolytic agents.
3. measure the amount of blood being pumped from his heart with each contraction to determine
whether there is heart damage.
4. visualize any blockages in the coronary arteries and, if necessary, to dilate an obstructed artery with
the use of a small balloon. - correct answer ✔✔Answer: 4
1. During assessment of a patient with chest pain, the nurse recognizes that chest pain associated with
stable angina is
1. severe, persistent, and unrelieved by rest.
2. usually abrupt in onset and accompanied by a feeling of doom.
3. aggravated by inspiration, coughing, and movement of the upper body.
4. accompanied by a residual soreness in the chest, which lasts for several days. - correct answer
✔✔Answer: 2
1. While observing the ECG monitor of a patient admitted to the emergency department with chest pain,
the nurse suspects that the patient is having a myocardial infarction rather than angina upon finding
1. A PCI with stent placement is performed on a patient with an 80% blockage of the left circumflex
coronary artery. To prevent thrombosis following the procedure, the nurse teaches the patient that it is
most important to
1. abstain from alcohol.
2. use antiplatelet agents as directed.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BravelRadon. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
