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Chapter 27 Coronary Vascular Disorders Questions and Answers fully solved
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Chapter 27 Coronary Vascular Disorders
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Chapter 27 Coronary Vascular DisordersWhich of the following is a modifiable risk factor for coronary artery disease (CAD)?
a) Increasing age
b) Hyperlipidemia
c) Male gender
d) Family history - answerb) Hyperlipidemia
Increasing age, male gender, and family history are nonmodifiable risk factors
A patient complains to the nurse about chest pain and palpitations during and after his
morning jogs. The patient's family history reveal a history of coronary artery disease
(CAD). What should the nurse recommend to minimize cardiac risk?
a) Smoking cessation
b) Mild meals
c) Liquid diet
d) Protein-rich diet - answera) Smoking cessation
1st line of defense from patients with CAD is a change in lifestyle, such as smoking
cessation, weight loss, stress management, and exercise. A protein-rich diet, liquid diet,
mild meals will not minimize cardiac risk
The lab values of a patient diagnosed with coronary artery disease (CAD) have just
come back from the lab. His low-density lipoprotein (LDL) is 112 mg/dL. This lab value
is indicative of which of the following?
a) Normal LDL level
b) Extremely high LDL level
c) Low LDL level
d) High LDL level - answerd) High LDL level
LDL level of 100 mg/dL to 130 mg/dL = high - goal is to decrease the LDL level below
100 mg/dL
Which of the following discharge instructions for self-care should the nurse provide to a
patient who has undergone a percutaneous transluminal coronary angoplasty (PTCA)
procedure?
a) Cleanse the site with disinfectants and dress the wound appropriately
, b) Normal activities of daily living can be resumed the first day pos op
c) Monitor the site for bleeding or hematoma
d) Refrain from sexual activity for one month - answerc) Monitor the site for bleeding or
hematoma
Discharge instructions for self-care = monitoring site for bleeding or hematoma
A patient complains about chest pain and heavy breathing when exercising or when
stressed. Which of the following is a priority nursing intervention for the patient
diagnosed with coronary artery disease?
a) Assess the physical history of the patient
b) Not important to assess the patient or to notify the physician
c) Assess the blood pressure and administer aspirin
d) Assess chest pain and administer prescribed drugs and oxygen - answerd) Assess
chest pain and administer prescribed drugs and oxygen
Assess the patient for chest pain and administer the prescribed drugs that dilate the
coronary arteries - administer oxygen to improve the oxygen supply to the heart
Assessing BP or physical history does not clearly indicate that the patient has CAD-
nurse does not administer aspirin without the physician's prescription
Which of the following terms refers to chest pain brought on my physical or emotional
stress and relieved by rest or medication?
a) Atheroma
b) Angina pectoris
C) Ischemia
d) Atherosclerosis - answerb) Angina pectoris
Angina pectoris is a Sx of myocardial ischemia - Atherosclerosis = abnormal
accumulation of lipid deposits and fibrous tissue within arterial walls and lumens -
Atheromas = fibrous caps composed of smooth muscle cells that form over lipid
deposits within arterial vessels - Ischemia = insufficient tissue oxygenation and may
occur in any part of the the body
Which of the following is a modifiable risk factor for coronary artery disease (CAD)?
a) Diabetes mellitus
b) Gender
c) Increasing age
d) Race - answera) Diabetes mellitus
While DM cannot be cured, blood sugars and symptomatology can be managed through
healthy heart living.
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