Question 1

After reviewing a patient's history,vital signs,physical assessment,and laboratory data,which information shown in the accompanying figure is most important for the nurse to communicate to the health care provider?

Accepted Answer

Pulmonary congestion and tachypnea suggest that the patient may be developing heart failure,a complication of myocardial infarction (MI).Mild fever and hyperglycemia are common after MI because of the inflammatory process that occurs with tissue necrosis.Troponin levels will be elevated for several days after MI.Q waves often develop with ST-segment-elevation MI.

Question 2

A patient with diabetes mellitus and chronic stable angina has a new order for captopril (Capoten).The nurse should teach the patient that the primary purpose of captopril is to

Accepted Answer

The purpose for angiotensin-converting enzyme (ACE)inhibitors in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling.ACE inhibitors do not directly impact angina frequency,blood glucose,or heart rate.

Question 3

After reviewing information shown in the accompanying figure from the medical records of a 43-year-old,which risk factor modification for coronary artery disease should the nurse include in patient teaching?

Accepted Answer

The patient has an elevated low-density lipoprotein (LDL)cholesterol and low high-density lipoprotein (HDL)cholesterol,which will increase the risk of coronary artery disease.Although the blood pressure is in the prehypertensive range,the patient's waist circumference and body mass index (BMI)indicate an appropriate body weight.The risk for coronary artery disease a year after quitting smoking is the same as a nonsmoker.The patient's occupation indicates that daily activity is at the levels suggested by national guidelines.

Quiz 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

After reviewing a patient's history,vital signs,physical assessment,and laboratory data,which information shown in the accompanying figure is most important for the nurse to communicate to the health care provider?

A patient with diabetes mellitus and chronic stable angina has a new order for captopril (Capoten) .The nurse should teach the patient that the primary purpose of captopril is to

After reviewing information shown in the accompanying figure from the medical records of a 43-year-old,which risk factor modification for coronary artery disease should the nurse include in patient teaching?