Carl Shapiro: Coronary Artery Disease Questions And Answers
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Module
Carl Shapiro
Institution
Carl Shapiro
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...
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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