1. Which of the following actions is the first priority of care for a pt
exhibiting signs & symptoms of coronary artery disease?
1. Decrease anxiety
2. Enhance myocardial oxygenation
3. Administer sublingual nitroglycerin
4. Educate the pt about his symptoms: 2. Enhancing myocardial
oxygenation is always the first priority when a pt exhibits signs or
symptoms of cardiac compro- mise. W/out adequate oxygenation, the
myocardium suffers damage. Sublingual nitroglycerin is administered
,to treat acute angina, but administration isn't the first priority.
Although educating the pt & decreasing anxiety are important in care
delivery, neither are priorities when a pt is compromised.
2. Medical treatment of coronary artery disease includes which of the
follow- ing procedures?
1. Cardiac catherization
2. Coronary artery bypass surgery
3. Oral med therapy
4. Percutaneous transluminal coronary angioplasty: 3. Oral med
administra- tion is a noninvasive, medical treatment for coronary
artery disease. Cardiac catherization isn't a treatment, but a
diagnostic tool. Coronary artery bypass surgery & percutaneous
transluminal coronary angioplasty are invasive, surgical treatments.
,3. Which of the following is the most common symptom of myocardial
infarc- tion (MI)?
1. Chest pain
2. Dyspnea
3. Edema
4. Palpitations: 1. The most common symptom of an MI is chest pain,
resulting from deprivation of oxygen to the heart. Dyspnea is the
second most common symptom, related to an increase in the
metabolic needs of the body during an MI. Edema is a later sign of
heart failure, often seen after an MI. Palpitations may result from
reduced cardiac output, producing arrhythmias.
4. Which of the following symptoms is the most likely origin of pain the pt
described as knifelike chest pain that increases in intensity with
, inspiration?
1. Cardiac
2. Gastrointestinal
3. Musculoskeletal
4. Pulmonary: 4. Pulmonary pain is generally described by these
symptoms. Mus-
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