Lewis Med-Surg Ch. 33 CAD and Acute Coronary Syndrome Exam Practice Questions and Answers
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Course
Lewis Medical-Surgical Nursing
Institution
Lewis Medical-Surgical Nursing
Lewis Med-Surg Ch. 33 CAD and Acute Coronary
Syndrome Exam Practice Questions and Answers
When developing a teaching plan for a 61-yr-old patient with multiple risk factors for coronary artery
disease (CAD), the nurse should focus primarily on the
a. family history of coronary artery disease.
...
Chronic stable angina is typically relieved by rest or nitroglycerin administration. The level of pain is not a
consistent indicator of the type of angina. Pain occurring at rest or with increased frequency is typical of
unstable angina.
DIF: Cognitive Level: Understand (comprehension)
After the nurse has finished teaching a patient about the use of sublingual nitroglycerin (Nitrostat),
which patient statement indicates that the teaching has been effective?
a. "I can expect nausea as a side effect of nitroglycerin."
b. "I should only take nitroglycerin when I have chest pain."
c. "Nitroglycerin helps prevent a clot from forming and blocking blood flow to my heart."
d. "I will call an ambulance if I still have pain after taking three nitroglycerin 5 minutes apart." - Ans:✔✔-
ANS: D
The emergency response system (ERS) should be activated when chest pain or other symptoms are not
completely relieved after three sublingual nitroglycerin tablets taken 5 minutes apart. Nitroglycerin can
be taken to prevent chest pain or other symptoms from developing (e.g., before intercourse). Gastric
upset (e.g., nausea) is not an expected side effect of nitroglycerin. Nitroglycerin does not impact the
underlying pathophysiology of coronary artery atherosclerosis.
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