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Carl Shapiro: Coronary Artery Disease Questions And Answers

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Carl Shapiro: Coronary Artery Disease Questions And Answers The nurse understands that aspirin is administered to a client with a suspected myocardial infarction (MI) for which of the following reasons? To prevent platelet aggregation Rationale:The client with a suspected MI should receive asp...

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  • October 26, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Carl Shapiro
  • Carl Shapiro
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Carl Shapiro: Coronary Artery Disease
Questions And Answers

The nurse understands that aspirin is administered to a client with a suspected myocardial

infarction (MI) for which of the following reasons? To prevent platelet aggregation




Rationale:The client with a suspected MI should receive aspirin immediately, unless allergic to it,

to help prevent platelet aggregation.




The nurse knows that which factors may increase the client's risk of developing coronary artery

disease? (Select all that apply.)

Metabolic syndrome

Cigarette smoking

Female less than age 55

Activity limited to walking


Family history Metabolic syndrome , Cigarette smoking , Family history




Rationale:Non-modifiable risk factors for coronary artery disease include family history and

increasing age (more than 55 years for women). Cigarette smoking and metabolic syndrome are

modifiable risk factors for coronary artery disease. A diagnosis of metabolic syndrome includes

three of the following conditions: insulin resistance, central obesity, dyslipidemia, blood pressure

, Carl Shapiro: Coronary Artery Disease
Questions And Answers
persistently greater than 130/85 mmHg, high levels of C-reactive protein, and high fibrinogen

level. Any activity based on client's capability is encouraged.




When a client is experiencing angina, the nurse administers nitroglycerin sublingually at what

frequency?

Once only, then administer morphine

Every 3 minutes, 5 doses maximum

Every 15 minutes, 3 doses maximum


Every 5 minutes, maximum 3 doses Every 5 minutes, maximum 3 doses




Rationale:When a client is experiencing acute angina, it is recommended that the client allow

one sublingual tablet to dissolve under the tongue (or spray nitroglycerin under the tongue) and

repeat every 5 minutes for a maximum of three doses.




Which of the following are cardiac markers assessed in the client experiencing angina to

determine potential myocardial injury? (Select all that apply.)

Creatinine

CK-MM

CK-MB

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