Chapter 24--Coronary Artery Dysfunction: Nursing Management

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Chapter 24--Coronary Artery Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client is learning about cholesterol. The nurse explains that the “good cholesterol” transports plasma chole... sterol away from plaques and to the liver for metabolism. This type of cholesterol is called: 1. high-density lipoprotein. 2. low-density lipoprotein. 3. very-high-density lipoprotein. 4. very-low-density lipoprotein. PTS: 1 DIF: Apply REF: Hyperlipidemia 2. A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL. Based on these results, the nurse knows that the client has: 1. an optimal blood pressure and triglyceride level. 2. a prehypertensive blood pressure and an optimal triglyceride level. 3. a prehypertensive blood pressure and a borderline high triglyceride level. 4. stage I hypertension and a high triglyceride level. PTS: 1 DIF: Analyze REF: Table 24-1 Classification of Lipid Levels; Table 24-2 Blood Pressure Classification 3. The nurse measures a client’s blood pressure to be 158/92 mmHg. The nurse recognizes that this blood pressure is classified as: 1. normal. 2. prehypertension. 3. stage I hypertension. 4. stage II hypertension. PTS: 1 DIF: Analyze REF: Table 24-2 Blood Pressure Classification 4. A client is complaining of chest pain that occurs during exercise. This pain is relieved when the client rests. The nurse realizes that this client is experiencing which type of angina? 1. Prinzmetal’s variant angina 2. Silent angina 3. Stable angina 4. Unstable angina PTS: 1 DIF: Analyze REF: Types of Angina 5. A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which of the following results is not expected? 1. ST segment depression 2. ST segment elevation 3. T-wave flattening 4. T-wave inversion PTS: 1 DIF: Analyze REF: Diagnostic Tests: Electrocardiogram 6. A client is scheduled for a cardiac angiogram. Which of the following should the nurse instruct the client about this diagnostic test? 1. It is noninvasive. 2. Contrast dye is injected. 3. Clients can move about after the procedure. 4. General anesthesia is used. PTS: 1 DIF: Apply REF: Diagnostic Tests: Coronary Angiography 7. When planning the care of a client diagnosed with stable angina, which of the following would be considered a goal of treatment? 1. Decrease in ischemia and episodes of angina 2. Prevent myocardial infection 3. Reduction of risk factors 4. Reduction of stress by education PTS: 1 DIF: Apply REF: Planning and Implementation: Goals 8. A client is prescribed a beta-blocker for treatment of coronary artery disease. Which of the following is the client most likely going to be prescribed? 1. Amlodipine 2. Atenolol 3. Diltiazem hydrochloride 4. Nicardipine PTS: 1 DIF: Analyze REF: Table 24-4 Common Medications for the Treatment of CAD 9. A client tells the nurse that using nitroglycerin tablets causes a tingling sensation and a headache. The nurse knows that this is: 1. an emergency. 2. an allergic reaction. 3. evidence of toxicity. 4. expected. PTS: 1 DIF: Analyze REF: Pharmacology 10. A nurse is considering contraindications to fibrinolytic therapy. Which of the following patients is an appropriate candidate for fibrinolytic therapy? 1. A patent with a peptic ulcer disease 2. A patient with a history of hemorrhagic stroke 3. A patient with a history of a motor vehicle accident 1 year ago 4. A patient with inflammatory bowel disease PTS: 1 DIF: Analyze REF: Acute Coronary Syndrome: Pharmacology 11. A client is participating in cardiac rehabilitation and is currently engaging in supervised exercise, counseling, and education. The nurse realizes this client is in which phase of cardiac rehabilitation? 1. Phase I 2. Phase II 3. Phase III 4. Phase IV PTS: 1 DIF: Analyze REF: Patient and Family Teaching 12. A client tells the nurse that he ingests an NSAID when “the angina pain gets really bad,” and it eliminates the pain. The nurse suspects the client is experiencing: 1. musculoskeletal pain. 2. aortic dissection. 3. mitral valve prolapse. 4. pericarditis. PTS: 1 DIF: Analyze REF: Diagnostic Tests: Differential Diagnosis for Angina 13. A client is prescribed nicotinic acid as part of treatment for coronary artery disease. Which of the following should the nurse instruct the client regarding this medication? 1. Ingest an aspirin 30 minutes before taking the medication and after eating. 2. Expect a gritty taste. 3. Anticipate constipation. 4. Expect fatigue with this medication. PTS: 1 DIF: Apply REF: Table 24-4 Common Medications for the Treatment of CAD MULTIPLE RESPONSE 1. The nurse is assessing the pain of a client experiencing angina. Which of the following should be included in this assessment? (Select all that apply.) 1. Precipitating event 2. Quality 3. Radiation 4. Severity 5. Timing 6. Medication PTS: 1 DIF: Apply REF: Table 24-3 PQRST 2. A client is at risk for coronary artery disease. Which of the following should the nurse instruct as modifiable risk factors for this health condition? (Select all that apply.) 1. Alcohol consumption 2. Diabetes mellitus 3. Family history 4. Gender 5. Low daily fruit intake 6. Psychosocial index PTS: 1 DIF: Apply REF: Etiology: Nonmodifiable Risk Factors; Modifiable Risk Factors 3. A client is diagnosed with angina after describing the type of pain she experiences. Which of the following are characteristics of anginal pain? (Select all that apply.) 1. Pressure 2. Heavy 3. Squeezing 4. Stabbing 5. Sharp 6. Demonstrates a clenched fist over the sternum PTS: 1 DIF: Analyze REF: Assessment with Clinical Manifestations 4. A client is experiencing a sudden onset of chest pain. Which of the following will the nurse do to manage this chest pain? 1. Administer intravenous morphine as prescribed. 2. Provide oxygen. 3. Insert an indwelling urinary catheter. 4. Position the client on the left side. 5. Administer nitroglycerin as prescribed. 6. Administer aspirin as prescribed. PTS: 1 DIF: Apply REF: Red Flag: Emergency Management of Chest Pain 5. Which of the following will the nurse instruct a client being discharged to home after experiencing an acute myocardial infarction? (Select all that apply.) 1. Understand cardiac condition 2. How to manage chest pain 3. Activity level 4. Medications 5. Risk factors 6. Immunizations PTS: 1 DIF: Apply REF: Table 24-7 Discharge Instructions after AMI [Show More]

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