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NURSE 125 FINAL EXAM REVIEW QUESTIONS WITH LENGTHY RATIONALES VERIFIED BY EXPERTS
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NURSE 125 FINAL EXAM REVIEW QUESTIONS WITH LENGTHY RATIONALES VERIFIED BY EXPERTS
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NURSE 125 FINAL EXAM REVIEWQUESTIONS WITH LENGTHY
RATIONALES VERIFIED BY EXPERTS
The dnurse dcollects ddata dfrom da dclient dwho dhas dexperienced dan depisode dof dchest dpain.
dThe dclient dtells dthe dnurse dthat dthe dchest dpain dstarted dshortly dafter dhe dstarted draking
dleaves dbut dwent daway dafter dhe drested dand dtook da dnitroglyerin dtablet. dWhich dtype dof
dangina dshould dthe dnurse drecognize din dthe dclient's ddescription?
1.
Stable
2.
Variant
3.
Unstable
4.
Intractable d- dcorrect danswers✔✔1. dStable dangina, dalso dcalled dexertional dangina, doccurs
dduring dactivities dthat dinvolve dexertion dor demotional dstress dand dis drelieved dby drest dor
dnitroglycerin. dIt dusually dhas da dstable dpattern dof donset, dduration, dseverity, dand drelieving
dfactors. dVariant dangina, dalso dcalled dPrinzmetal dor dvasospastic dangina, dresults dfrom
dcoronary dartery dspasm. dIt dmay doccur dwhen dthe dclient dis dat drest dand dmay dbe dassociated
dwith dST-segment delevation don delectrocardiography. dUnstable dangina dis dalso dcalled
dpreinfarction dangina. dIt doccurs dwith dan dunpredictable ddegree dof dexertion dor demotion
dand dincreases din dfrequency, dduration, dand dseverity dover dtime; dit dmay dnot dbe drelieved
dby dnitroglycerin. dIntractable dangina dis da dchronic, dincapacitating dtype dof dangina dthat dis
dunresponsive dto dinterventions.
Which dmeasures dshould dthe dnurse dimplement din dthe dimmediate dmanagement dof dthe
dcare dof da dclient dexperiencing dangina? dSelect dall dthat dapply.
1.
Administering doxygen
2.
Assessing dthe dclient's dpain
3.
Administering dnitroglycerin
4.
, Placing dthe dclient din da dside-lying dsupine dposition
5.
Helping dthe dclient didentify danxiety-precipitating devents dor dexperiences d- dcorrect
danswers✔✔1, d2, d3, dThe dimmediate dmanagement dof dcare dincludes dassessing dthe dpain
dand dinstituting dpain drelief dmeasures; dadministering dnitroglycerin dto ddilate dthe dcoronary
darteries, dreduce doxygen drequirements dof dthe dmyocardium, dand drelieve dchest dpain;
dAdminister doxygen dby dnasal dcannula das dprescribed; dmaintain dbedrest din da dsemi-
Fowler's dposition; dmonitor dvital dsigns; dobtain da d12-lead delectrocardiogram; dinstitute
dcontinuous dcardiac dmonitoring; dinitiate dan dintravenous d(IV) dline. dThe dnurse dwould
dalways dstay dwith dthe dclient. dFollowing dthe dacute depisode dand donce dthe dclient dis
dstabilized, dthe dnurse dwould dhelp dthe dclient didentify dangina-precipitating devents; dprovide
dclient dinstructions don dmanagement dof dthe ddisorder, ddiet, dand dmedications; dand dinstruct
dthe dclient dto dseek dmedical dattention dif dpain dpersists dafter dtreatment.
Which drisk dfactors dfor da dmycoardial dinfarction dare dmodifiable? dSelect dall dthat dapply.
1. dThe dclient dsmokes dfour dor dfive dcigarettes da dday.
2. dThe dclient dreports da dsedentary dlifestyle.
3. dThe dclient dis d5 dfeet d1 dinch d(155 dcm) dtall dand dweighs d232 dlb d(105 dkg).
4. dThe dclient's dblood dpressure dconsistently dranges dbetween d148/88 dand d170/96 dmm dHg
5. dThe dclient dreports dthat dher dmother dhas da dhistory dof dseverely dincreased dcholesterol
dlevels dthat dcannot dbe dcontrolled dwith ddiet dor dmedication.
Submit d- dcorrect danswers✔✔1, d2, d3, d4, dAn dMI doccurs dwhen dmyocardial dtissue dis
dabruptly dand dseverely ddeprived dof doxygen. dIschemia dresults dand dmay dlead dto dnecrosis
dof dmyocardial dtissue dif dblood dflow dis dnot drestored. dAn dMI dcan dbe dcaused dby
datherosclerosis dand dCAD. dHereditary dfactors dare dnonmodifiable. dModifiable drisk dfactors
dare dthose dthat dcan dbe dchanged—for dinstance, dsmoking, dhypertension, dobesity,
dphysical dinactivity, dimpaired dglucose dintolerance, dand dstress.
A dclient dwho dis dexperiencing dchest dpain dis dbrought dto dthe demergency ddepartment dby da
dfamily dmember. dAssessing dthe dclient, dthe dnurse dobtains da ddescription dof dthe dclient's
dchest dpain. dWhich dinformation dfrom dthe dclient dcauses dthe dnurse dto ddetermine dthat dthe
dclient's dpain dis dmost dlikely dangina?
1.
The dpain dis dunrelieved dby drest.
2.
The dpain dis dunrelieved dby dnitroglycerin.
3.
The dpain dwas dprecipitated dby da dstressful devent.
4.
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