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Level 2 - RNSG 1443 - Exam 2 Test Banks & Review Questions And Answers Latest Update
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Level 2 - RNSG 1443 - Exam 2 Test Banks & Review Questions And Answers Latest Update
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Solution 2024/2025Pepper
Level 2 - RNSG 1443 - Exam 2 Test Banks &
Review Questions And Answers Latest Update
In teaching a patient 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, especially 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.
B, C, D
b. abnormal levels of cholesterol, especially 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.
.
After teaching about ways to decrease risk factors for CAD, the nurse
recognizes that additional instruction is needed when the patient says
a. "I would like to add weight lifting to my exercise program."
b. "I can only keep my blood pressure normal with medication."
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."
A
"I would like to add weight lifting to my exercise program."
, Solution 2024/2025
Pepper
A hospitalized patient with 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 myocardial infarction.
b. will be relieved by rest, nitroglycerin, or both.
c. indicates that irreversible myocardial damage is occurring.
d. is frequently associated with vomiting and extreme fatigue.
B
will be relieved by rest, nitroglycerin, or both.
The nurse is caring for a patient who is 2 days post MI. The patient reports
that she is experiencing chest pain. She states, “It hurts when I take a deep
breath.” Which action would be a priority?
a. Notify the physician STAT and obtain a 12-lead ECG.
b. Obtain vital signs and auscultate for a pericardial friction rub.
c. Apply high-flow O2 by face mask and auscultate breath sounds.
d. Medicate the patient with PRN analgesic and reevaluate in 30 minutes.
B
Obtain vital signs and auscultate for a pericardial friction rub.
A patient is admitted to the ICU with a diagnosis of unstable angina. Which
drugs(s) would the nurse expect the patient to receive (select all that
apply)?
a. ACE inhibitor
b. Antiplatelet therapy
c. Thrombolytic therapy
d. Prophylactic antibiotics
e. IV nitroglycerin
, Solution 2024/2025
Pepper
A, B, E
a. ACE inhibitor
b. Antiplatelet therapy
e. IV nitroglycerin
.
A patient is recovering from an uncomplicated MI. Which rehabilitation
guideline is a priority to include in the teaching plan?
a. Refrain from sexual activity for a minimum of 3 weeks.
b. Plan a diet program that aims for a 1- to 2-pound weight loss per week.
c. Begin an exercise program that aims for at least five 30-minute sessions
per week.
d. Consider the use of erectile agents and prophylactic NTG before engaging
in sexual activity.
C
Begin an exercise program that aims for at least five 30-minute sessions per
week.
.
The most common finding in individuals at risk for sudden cardiac death is
a. aortic valve disease.
b. mitral valve disease.
c. left ventricular dysfunction.
d. atherosclerotic heart disease.
.
C
left ventricular dysfunction.
, Solution 2024/2025
Pepper
.
When developing a teaching plan for a 61-year-old man with the following
risk factors for coronary artery disease (CAD), the nurse should focus on the
a. family history of coronary artery disease.
b. increased risk associated with the patients gender.
c. increased risk of cardiovascular disease as people age.
d. elevation of the patients low-density lipoprotein (LDL) level.
D. elevation of the patients low-density lipoprotein (LDL) level.
Because family history, gender, and age are non-modifiable risk factors, the
nurse should focus on the patients LDL level. Decreases in LDL will help
reduce the patients risk for developing CAD.
.
.
Which nursing intervention will be most effective when assisting the patient
with coronary artery disease (CAD) to make appropriate dietary changes?
a. Give the patient a list of low-sodium, low-cholesterol foods that should be
included in the diet.
b. Emphasize the increased risk for heart problems unless the patient
makes the dietary changes.
c. Help the patient modify favorite high-fat recipes by using monosaturated
oils when possible.
d. Inform the patient that a diet containing no saturated fat and minimal salt
will be necessary.
C
Lifestyle changes are more likely to be successful when consideration is
given to the patients values and preferences. The highest percentage of
calories from fat should come from monosaturated fats.
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