Question 1

Which of the following will the nurse instruct a client being discharged to home after experiencing an acute myocardial infarction? (Select all that apply.)&#10;A) Understand cardiac condition&#10;B) How to manage chest pain&#10;C) Activity level&#10;D) Medications&#10;E) Risk factors&#10;F) Immunizations&#10;

Accepted Answer

The nurse should instruct a client being discharged to home after experiencing an acute myocardial infarction on understanding their cardiac condition, how to manage chest pain, their activity level, medications, and risk factors. Immunizations may not be relevant to their condition and can be discussed with their primary care physician.

Question 2

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.)&#10;A) Pressure&#10;B) Heavy&#10;C) Squeezing&#10;D) Stabbing&#10;E) Sharp&#10;F) Demonstrates a clenched fist over the sternum&#10;

Accepted Answer

Anginal pain is typically described as pressure, heaviness, or squeezing feeling in the chest. It is often accompanied by a sensation of tightness or constriction. Patients may also demonstrate a clenched fist over the sternum due to the discomfort they are experiencing. Stabbing or sharp pain are not typically associated with angina.

Question 3

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?&#10;A) Prinzmetal's variant angina&#10;B) Silent angina&#10;C) Stable angina&#10;D) Unstable angina&#10;

Accepted Answer

The client is experiencing stable angina, which is typically brought on by physical activity or emotional stress and is relieved with rest or nitroglycerin. This type of angina occurs when the demand for oxygen in the heart muscle exceeds the supply of oxygen-rich blood.

Question 4

When planning the care of a client diagnosed with stable angina, which of the following would be considered a goal of treatment?&#10;A) Decrease in ischemia and episodes of angina&#10;B) Prevent myocardial infection&#10;C) Reduction of risk factors&#10;D) Reduction of stress by education&#10;

Accepted Answer

The goal of treatment for stable angina is to decrease ischemia and episodes of angina, which is achieved through medication, lifestyle modifications, and other interventions. Preventing myocardial infarction and reducing risk factors are important secondary goals, but not the primary goal. While education can be helpful in reducing stress, it is not a primary goal for the treatment of stable angina.

Question 5

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?&#10;A) Amlodipine&#10;B) Atenolol&#10;C) Diltiazem hydrochloride&#10;D) Nicardipine&#10;

Accepted Answer

Atenolol is a beta-blocker, which is commonly prescribed for coronary artery disease to reduce the heart's workload and help prevent heart attacks. Amlodipine, Diltiazem hydrochloride, and Nicardipine are calcium channel blockers, not beta-blockers.

Question 6

A client is scheduled for a cardiac angiogram. Which of the following should the nurse instruct the client about this diagnostic test?&#10;A) It is noninvasive.&#10;B) Contrast dye is injected.&#10;C) Clients can move about after the procedure.&#10;D) General anesthesia is used.&#10;

Accepted Answer

The nurse should instruct the client that contrast dye will be injected for a cardiac angiogram. This is necessary to visualize the coronary arteries and assess blood flow.

Question 7

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.)&#10;A) Precipitating event&#10;B) Quality&#10;C) Radiation&#10;D) Severity&#10;E) Timing&#10;F) Medication&#10;

Accepted Answer

When assessing the pain of a client experiencing angina, it is important to gather information about the precipitating event (A), quality (B), radiation (C), severity (D), and timing (E) of the pain. This information can help the nurse determine the cause and severity of the angina and guide appropriate interventions. Medication (F) may be assessed as well, but it is not directly related to assessing the pain in this situation.

Question 8

A nurse is considering contraindications to fibrinolytic therapy. Which of the following patients is an appropriate candidate for fibrinolytic therapy?&#10;A) A patent with a peptic ulcer disease&#10;B) A patient with a history of hemorrhagic stroke&#10;C) A patient with a history of a motor vehicle accident 1 year ago&#10;D) A patient with inflammatory bowel disease&#10;

Accepted Answer

Fibrinolytic therapy is used to dissolve blood clots in patients with conditions such as acute myocardial infarction, pulmonary embolism, and ischemic stroke. Contraindications to fibrinolytic therapy include bleeding disorders, recent major surgery or trauma, history of hemorrhagic stroke, and active peptic ulcer disease. Out of the given options, only patient C with a history of a motor vehicle accident 1 year ago is an appropriate candidate for fibrinolytic therapy.  Patients with inflammatory bowel disease are not contraindicated for fibrinolytic therapy.

Question 9

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:&#10;A) an optimal blood pressure and triglyceride level.&#10;B) a prehypertensive blood pressure and an optimal triglyceride level.&#10;C) a prehypertensive blood pressure and a borderline high triglyceride level.&#10;D) stage I hypertension and a high triglyceride level.&#10;

Accepted Answer

A blood pressure of 124/78 mmHg is considered prehypertensive, and a triglyceride level of 160 mg/dL is considered borderline high.

Question 10

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?&#10;A) Ingest an aspirin 30 minutes before taking the medication and after eating.&#10;B) Expect a gritty taste.&#10;C) Anticipate constipation.&#10;D) Expect fatigue with this medication.&#10;

Accepted Answer

Nicotinic acid can cause flushing and the risk of bleeding, so it is recommended to ingest an aspirin 30 minutes before taking the medication and after eating to minimize these side effects. Option B is incorrect as a gritty taste is not a common side effect of nicotinic acid. Option C is also incorrect as constipation is not a side effect of nicotinic acid. Option D is incorrect as fatigue is not a common side effect of nicotinic acid.

Question 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?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Accepted Answer

The answer of A client is participating in cardiac rehabilitation...

Question 12

A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which of the following results is not expected?&#10;A) ST segment depression&#10;B) ST segment elevation&#10;C) T-wave flattening&#10;D) T-wave inversion&#10;

Accepted Answer

The answer of A client diagnosed with stable angina is...

Question 13

A client is learning about cholesterol. The nurse explains that the "good cholesterol" transports plasma cholesterol away from plaques and to the liver for metabolism. This type of cholesterol is called:

A) high-density lipoprotein.
B) low-density lipoprotein.
C) very-high-density lipoprotein.
D) very-low-density lipoprotein.

Accepted Answer

The answer of A client is learning about cholesterol. The...

Question 14

A client tells the nurse that he ingests an NSAID when &#34;the angina pain gets really bad,&#34; and it eliminates the pain. The nurse suspects the client is experiencing:&#10;A) musculoskeletal pain.&#10;B) aortic dissection.&#10;C) mitral valve prolapse.&#10;D) pericarditis.&#10;

Accepted Answer

The answer of A client tells the nurse that he...

Question 15

The nurse measures a client's blood pressure to be 158/92 mmHg. The nurse recognizes that this blood pressure is classified as:&#10;A) normal.&#10;B) prehypertension.&#10;C) stage I hypertension.&#10;D) stage II hypertension.&#10;

Accepted Answer

The answer of The nurse measures a client's blood pressure...

Question 16

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.)&#10;A) Alcohol consumption&#10;B) Diabetes mellitus&#10;C) Family history&#10;D) Gender&#10;E) Low daily fruit intake&#10;F) Psychosocial index&#10;

Accepted Answer

The answer of A client is at risk for coronary...

Question 17

A client tells the nurse that using nitroglycerin tablets causes a tingling sensation and a headache. The nurse knows that this is:&#10;A) an emergency.&#10;B) an allergic reaction.&#10;C) evidence of toxicity.&#10;D) expected.&#10;

Accepted Answer

The answer of A client tells the nurse that using...

Question 18

A client is experiencing a sudden onset of chest pain. Which of the following will the nurse do to manage this chest pain?&#10;A) Administer intravenous morphine as prescribed.&#10;B) Provide oxygen.&#10;C) Insert an indwelling urinary catheter.&#10;D) Position the client on the left side.&#10;E) Administer nitroglycerin as prescribed.&#10;F) Administer aspirin as prescribed.&#10;

Accepted Answer

The answer of A client is experiencing a sudden onset...

Deck 24: Coronary Artery Dysfunction: Nursing Management