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ISCHEMIC HEART DISEASE CHAPTER 16 TEST QUESTIONS AND CORRECT ANSWERS
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ISCHEMIC HEART DISEASE CHAPTER 16 TESTQUESTIONS AND CORRECT ANSWERS
Myocardial infarction _________________________. Select all that apply.
- usually resolves on its own, without any treatment.
- is synonymous with myocardial ischemia.
- results from increased oxygenation of heart tissue.
- indicates death of heart tissue.
- may produce abnormalities on an ECG. - ANSWER - indicates death of heart
tissue
- may produce abnormalities on an ECG
Which of the following statements about angina are true? Select all that apply.
- Stable angina is considered a medical emergency.
- Unstable angina may indicate new damage to the heart.
- Angina pectoris is cardiac chest pain that occurs when there is lack of blood
flow to the myocardium.
- Increased oxygen levels and lactic acid formation may play a role in angina.
- Unstable angina is chest pain the patient is experiencing for the first time. -
ANSWER - Unstable angina may indicate new damage to the heart
- Angina pectoris is cardiac chest pain that occurs when there is lack of blood
flow to the myocardium
- Unstable angina is chest pain the patient is experiencing for the first time
As a nurse working the emergency department, which of the following signs
and symptoms are you concerned may indicate a patient is experiencing angina?
Select all that apply.
- Pain alleviated with nitrates
- Muscle weakness
- Pain radiating to the jaw and neck
- Fever
- Levine's sign - ANSWER - levine's sign
- pain radiating to the jaw and neck
- pain alleviated with nitrates
Of the following characteristics, which is associated with a STEMI?
- Partial occlusion of coronary artery
- Partial thickness damage of heart muscle
, -ST segment elevation
- Relatively benign condition - ANSWER - ST segment elevation
Which of the following treatments utilizes a catheter with a balloon that is
inflated to restore blood flow?
- STEMI
- NSTEMI
- PTCA
- CABG - ANSWER - PTCA
Helen is a 68-year-old woman who has been brought to the emergency
department by her friend Karen. According to Karen, she and Helen had been
working for several hours cleaning Helen's home. As they were finishing, Helen
began to complain of heaviness in her chest, shortness of breath, and dizziness.
These were not alleviated by Helen taking a nitroglycerin tablet and resting so
Karen thought it best to bring Helen in for evaluation.As Helen experienced her
symptoms, why may nitroglycerin tablets help?
- Nitroglycerin is known to alleviate dizziness.
- Nitroglycerin vasodilates arterioles helping with coronary blood flow.
- Nitroglycerine tablets are antianxiety medications.
- Nitroglycerin increases heart rate helping to maintain cardiac output. -
ANSWER - Nitroglycerin vasodilates arterioles helping with coronary blood
flow.
Given Helen's medical history, as well as her shortness of breath and feeling of
dizziness, you believe she may be suffering from a myocardial infarction. The
signs and symptoms of myocardial infarction may present differently in women.
Which term applies to the signs and symptoms that may be present in a
myocardial infarction that are not considered to be the typical presentation of
chest pain?
- Levine's sign
- angina equivalents
- intermittent leg claudication
- cushing's triad - ANSWER - angina equivalents
Because of the concern of myocardial infarction (MI), the physician orders an
electrocardiogram (ECG), which reveals Helen has ST segment elevation.
Which of the following statements are true? Select all that apply.
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