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Coronary Artery Disease and Acute Coronary Syndrome nclex fully solved
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Coronary Artery Disease and Acute Coronary Syndrome nclex fully solved
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Coronary Artery Disease and AcuteCoronary Syndrome nclex fully solved
low activity level the patient reports. - correct answer ✔✔When developing a health teaching plan for a
65-year-old patient with all these risk factors for coronary artery disease (CAD), the nurse will focus on
the __________
Assist the patient to modify favorite high-fat recipes by using monosaturated oils when possible. -
correct answer ✔✔To assist the patient with CAD to make the appropriate dietary changes, which of
these nursing interventions will be most effective?
The pain has persisted longer than 30 minutes. - correct answer ✔✔The nurse is admitting a patient who
is complaining of chest pain to the emergency department (ED). Which information collected by the
nurse suggests that the pain is caused by an acute myocardial infarction (AMI)?
visualize any coronary artery blockages and dilate any obstructed arteries. - correct answer ✔✔A patient
is admitted to the ED after an episode of severe chest pain, and the physician schedules the patient for
coronary angiography and possible percutaneous coronary intervention (PCI). The nurse prepares the
patient for the procedure by explaining that it is used to ________________________
The patient indicates that the pain is resolved after taking one sublingual nitroglycerin tablet. - correct
answer ✔✔Which information given by a patient admitted with chronic stable angina will help the nurse
confirm this diagnosis?
ST-segment elevation - correct answer ✔✔Which electrocardiographic (ECG) change will be of most
concern to the nurse when admitting a patient with chest pain?
Chest pain level 8 on a 10-point scale - correct answer ✔✔When caring for a patient with ACS who has
returned to the coronary care unit after having a PCI, the nurse obtains these assessment data. Which
data indicate the need for immediate intervention by the nurse?
identifying the need to call the emergency medical services (EMS) if chest pain persists 5 minutes after
taking nitroglycerin. - correct answer ✔✔In developing a teaching plan for a patient who has stable
,angina and is started on sublingual nitroglycerin (Nitrostat), the nurse identifies an expected patient
outcome of
"I will miss being able to eat peanut butter sandwiches." - correct answer ✔✔Which of these statements
made by a patient after the nurse has completed teaching about the TLC diet indicates that further
teaching is needed?
"It is important not to suddenly stop taking the atenolol." - correct answer ✔✔After the nurse teaches
the patient about the use of atenolol (Tenormin) in preventing anginal episodes, which statement by a
patient indicates that the teaching has been effective?
Troponin levels - correct answer ✔✔A patient who has had severe chest pain for the last 4 hours is
admitted with a diagnosis of possible AMI. Which of these ordered laboratory tests should the nurse
monitor to help determine whether the patient has had an MI?
decrease spasm of the coronary arteries. - correct answer ✔✔Nifedipine (Procardia) is ordered for a
patient with newly diagnosed Prinzmetal's (variant) angina. When teaching the patient, the nurse will
include the information that Procardia will ____________
the cardiac monitor shows a heart rate of 45. - correct answer ✔✔A patient with chronic stable angina is
being treated with metoprolol (Lopressor). The nurse will suspect that the patient is experiencing a side
effect of the metoprolol if __________________
ability to do daily activities without chest discomfort. - correct answer ✔✔Nadolol (Corgard) is
prescribed for a patient with angina. In evaluating the effectiveness of the drug, the nurse will monitor
for _________________
acute pain related to myocardial ischemia. - correct answer ✔✔A patient admitted to the coronary care
unit (CCU) with an MI and frequent premature ventricular contractions (PVCs) has health care provider
orders for continuous amiodarone infusion, IV nitroglycerin infusion, and morphine sulfate 2 mg IV every
10 minutes until there is relief of pain. The patient says, "This is the worst pain I have ever had. Am I
going to die?" Based on these data, the nurse identifies a priority nursing diagnosis of
___________________
, Heparin will prevent the development of clots in the coronary arteries. - correct answer ✔✔A patient
with a non-ST segment elevation myocardial infarction (NSTEMI) is receiving heparin. What is the
purpose of the heparin?
Attach the cardiac monitor. - correct answer ✔✔While admitting a patient with an AMI, which action
should the nurse carry out first?
relief of chest discomfort. - correct answer ✔✔The nurse administers IV nitroglycerin to a patient with
an MI. In evaluating the effect of this intervention, the nurse should monitor for _______________
"What time did your chest pain begin?" - correct answer ✔✔A patient with ST-segment elevation in
several ECG leads is admitted to the ED and diagnosed as having an AMI. Which question should the
nurse ask to determine whether the patient is a candidate for fibrinolytic therapy?
Heart rate increases from 66 to 90 beats/min. - correct answer ✔✔Following an AMI, a patient
ambulates in the hospital hallway. When the nurse is evaluating the patient's response, which of these
assessment data would indicate that the exercise level should be decreased?
a decrease in level of consciousness. - correct answer ✔✔During the administration of the fibrinolytic
agent to a patient with an AMI, the nurse should stop the drug infusion if the patient experiences
_______________
No change in the patient's chest pain - correct answer ✔✔A patient is receiving fibrinolytic therapy 2
hours after developing an AMI. Which assessment information will be of most concern to the nurse?
pericardial friction rub. - correct answer ✔✔Three days after an MI, the patient develops chest pain that
radiates to the back and left arm and is relieved by sitting in a forward position. On auscultation of the
patient's chest, the nurse would expect to hear a ____________
"I will stop what I am doing and sit down before I put the nitroglycerin under my tongue." - correct
answer ✔✔After the nurse teaches a patient with chronic stable angina about how to use the prescribed
nitrates, which statement by the patient indicates that the teaching has been effective?
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