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Carl Shapiro Coronary Artery Disease Exam Questions and Answers
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Carl Shapiro Coronary Artery Disease Exam Questions and Answers
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Carl Shapiro: Coronary Artery DiseaseExam Questions and Answers
The iinurse iiunderstands iithat iiaspirin iiis iiadministered iito iia iiclient iiwith iia iisuspected
iimyocardial iiinfarction ii(MI) iifor iiwhich iiof iithe iifollowing iireasons? ii- iiAnswers ii-To
iiprevent iiplatelet iiaggregation
Rationale:The iiclient iiwith iia iisuspected iiMI iishould iireceive iiaspirin iiimmediately, iiunless
iiallergic iito iiit, iito iihelp iiprevent iiplatelet iiaggregation.
The iinurse iiknows iithat iiwhich iifactors iimay iiincrease iithe iiclient's iirisk iiof iideveloping
iicoronary iiartery iidisease? ii(Select iiall iithat iiapply.)
Metabolic iisyndrome
Cigarette iismoking
Female iiless iithan iiage ii55
Activity iilimited iito iiwalking
Family iihistory ii- iiAnswers ii-Metabolic iisyndrome ii, iiCigarette iismoking ii, iiFamily iihistory
Rationale:Non-modifiable iirisk iifactors iifor iicoronary iiartery iidisease iiinclude iifamily
iihistory iiand iiincreasing iiage ii(more iithan ii55 iiyears iifor iiwomen). iiCigarette iismoking
iiand iimetabolic iisyndrome iiare iimodifiable iirisk iifactors iifor iicoronary iiartery iidisease. iiA
iidiagnosis iiof iimetabolic iisyndrome iiincludes iithree iiof iithe iifollowing iiconditions: iiinsulin
iiresistance, iicentral iiobesity, iidyslipidemia, iiblood iipressure iipersistently iigreater iithan
ii130/85 iimmHg, iihigh iilevels iiof iiC-reactive iiprotein, iiand iihigh iifibrinogen iilevel. iiAny
iiactivity iibased iion iiclient's iicapability iiis iiencouraged.
When iia iiclient iiis iiexperiencing iiangina, iithe iinurse iiadministers iinitroglycerin
iisublingually iiat iiwhat iifrequency?
Once iionly, iithen iiadminister iimorphine
Every ii3 iiminutes, ii5 iidoses iimaximum
Every ii15 iiminutes, ii3 iidoses iimaximum
Every ii5 iiminutes, iimaximum ii3 iidoses ii- iiAnswers ii-Every ii5 iiminutes, iimaximum ii3
iidoses
Rationale:When iia iiclient iiis iiexperiencing iiacute iiangina, iiit iiis iirecommended iithat iithe
iiclient iiallow iione iisublingual iitablet iito iidissolve iiunder iithe iitongue ii(or iispray
iinitroglycerin iiunder iithe iitongue) iiand iirepeat iievery ii5 iiminutes iifor iia iimaximum iiof
iithree iidoses.
Which iiof iithe iifollowing iiare iicardiac iimarkers iiassessed iiin iithe iiclient iiexperiencing
iiangina iito iidetermine iipotential iimyocardial iiinjury? ii(Select iiall iithat iiapply.)
, Creatinine
CK-MM
CK-MB
Hemoglobin
Troponin ii- iiAnswers ii-CK-MB ii, iiTroponin
Rationale:Cardiac iienzymes iiand iibiomarkers, iiwhich iiinclude iitroponin, iicreatine iikinase
ii(CK), iiand iimyoglobin, iiare iiused iito iidiagnose iian iiacute iiMI. iiOf iithe iithree iiCK
iiisoenzymes, iiCK-myocardial iibound ii(MB) iiis iispecific iito iithe iiheart iimuscle. iiCK-MM iiis
iispecific iito iiskeletal iimuscle iiand iiis iinot iian iiindicator iiof iiMI. iiHemoglobin iiis iiused iito
iidetermine iithe iiamount iiof iioxygen iiin iithe iiblood. iiCreatinine iiis iielevated iiin iirenal
iifailure, iinot iiin iimyocardial iiinjury.
When iiadministering iimedication iito iithe iiclient iiwith iisuspected iimyocardial iiinfarction,
iithe iinurse iiunderstands iithat iimorphine iihas iiwhich iiof iithe iifollowing iibeneficial iieffects?
ii(Select iiall iithat iiapply.)
Decreases iianxiety
Decreases iiafterload
Decreases iirespiratory iirate
Decreases iipain
Decreases iipreload ii- iiAnswers ii-Decreases iianxiety ii, iiDecreases iiafterload ii,
iiDecreases iipain ii, iiDecreases iipreload
Rationale:Morphine iiis iithe iidrug iiof iichoice iito iireduce iipain, iithereby iireducing iianxiety.
iiIt iialso iireduces iipreload iiand iiafterload, iidecreasing iithe iiwork iiof iithe iiheart. iiThe iiclient
iimust iibe iimonitored iiclosely iifor iithe iiside iieffects iiof iihypotension iiand iirespiratory
iidepression.
Which iiof iithe iifollowing iidoes iithe iinurse iirecognize iias iitypical iisigns iiand iisymptoms
iiexhibited iiby iia iiclient iiexperiencing iiangina? ii(Select iiall iithat iiapply.)
Substernal iichest iipain
Pain iion iiinspiration
Tenderness iiover iiapical iiarea
Shortness iiof iibreath
Diaphoresis ii- iiAnswers ii-Substernal iichest iipain ii, iiShortness iiof iibreath ii, iiDiaphoresis
Rationale:Typical iisigns iiand iisymptoms iiof iiangina iican iiinclude iisubsternal iichest iipain
iior iiheaviness iithat iimay iiradiate, iishortness iiof iibreath, iidusky iior iipallor iiskin,
iidiaphoresis, iiweakness, iinausea iiand iivomiting, iiand iidenial iiby iithe iiclient. iiPain iion
iiinspiration iiand iitenderness iiover iithe iiapical iiarea iiare iisymptoms iiassociated iiwith
iiother iidisease iiprocesses iisuch iias iipericarditis iior iipleurisy.
The iinurse iirecognizes iithat iiST iielevation iion iithe ii12-lead iiECG iitypically iiindicates
iiwhich iiof iithe iifollowing?
Hyperkalemia
This iiis iia iinormal iifinding
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