Podcast
Questions and Answers
Which of the following is NOT a symptom of peripheral arterial disease?
Which of the following is NOT a symptom of peripheral arterial disease?
- Pain with activity
- Pedal edema (correct)
- Diminished pedal pulses
- Loss of color/pale
Which of the following are risk factors for coronary artery disease (CAD)? (Select all that apply)
Which of the following are risk factors for coronary artery disease (CAD)? (Select all that apply)
- Elevated HDL
- Elevated CRP (C reactive protein) (correct)
- Total cholesterol <200
- Smoking (correct)
- History of HTN (correct)
A patient diagnosed with CAD and prescribed nitroglycerin sublingually for angina experiences chest pain. What should the patient do FIRST?
A patient diagnosed with CAD and prescribed nitroglycerin sublingually for angina experiences chest pain. What should the patient do FIRST?
- Sit down and wait 3–5 minutes to see if angina subsides
- Sit down and call 911
- Sit down and take a nitroglycerin tablet (correct)
- Immediately drive to an emergency room
Which of the following is a potential complication of a myocardial infarction (MI)? (Select all that apply)
Which of the following is a potential complication of a myocardial infarction (MI)? (Select all that apply)
Which of the following is a form of revascularization for coronary artery disease?
Which of the following is a form of revascularization for coronary artery disease?
Which of the following are modifiable risk factors for atherosclerotic cardiovascular disease (ASCVD)? (Select all that apply)
Which of the following are modifiable risk factors for atherosclerotic cardiovascular disease (ASCVD)? (Select all that apply)
A patient with CAD has a heart rate of 112, blood pressure of 118/78, and respiratory rate of 24. They have a prescription for NTG and are losing weight as directed. Which of the following will best address the needs of this patient?
A patient with CAD has a heart rate of 112, blood pressure of 118/78, and respiratory rate of 24. They have a prescription for NTG and are losing weight as directed. Which of the following will best address the needs of this patient?
A female patient presents to the ED with upper back pain, nausea, and profound fatigue. Her 12-lead EKG demonstrates ST depression in the septal leads. Which of the following is the MOST likely diagnosis? (Select all that apply)
A female patient presents to the ED with upper back pain, nausea, and profound fatigue. Her 12-lead EKG demonstrates ST depression in the septal leads. Which of the following is the MOST likely diagnosis? (Select all that apply)
A patient presents to the ED with substernal chest pain. The 12-lead EKG demonstrates ST elevation in the anterior leads. What is the most appropriate action to take?
A patient presents to the ED with substernal chest pain. The 12-lead EKG demonstrates ST elevation in the anterior leads. What is the most appropriate action to take?
An individual develops chest pressure while exercising, and they have no history of angina. What should their FIRST action be?
An individual develops chest pressure while exercising, and they have no history of angina. What should their FIRST action be?
A nurse is teaching an orientee about cardiopulmonary bypass (CPB). Which of the following information provided by the nurse is correct?
A nurse is teaching an orientee about cardiopulmonary bypass (CPB). Which of the following information provided by the nurse is correct?
Which of the following are common complications of myocardial infarction (heart attack)? (Select all that apply)
Which of the following are common complications of myocardial infarction (heart attack)? (Select all that apply)
A patient is admitted to the ED with substernal chest pain and hypertension. The patient also reports sinus tachycardia, a pain level of 10/10, and states, "I'm going to die." The 12-lead EKG shows ST elevation. What is the MOST likely diagnosis?
A patient is admitted to the ED with substernal chest pain and hypertension. The patient also reports sinus tachycardia, a pain level of 10/10, and states, "I'm going to die." The 12-lead EKG shows ST elevation. What is the MOST likely diagnosis?
You instruct a patient with angina that when angina develops, they should sit down and take a sublingual nitroglycerin (NTG). Beyond the fact that NTG may drop blood pressure, why is sitting down important?
You instruct a patient with angina that when angina develops, they should sit down and take a sublingual nitroglycerin (NTG). Beyond the fact that NTG may drop blood pressure, why is sitting down important?
A patient with acute coronary syndrome (ACS) is being treated in the ED. The patient has ST depression, anxiety, neck and arm pain on the left side, diaphoresis and nausea, and negative isoenzymes. What is the MOST likely diagnosis?
A patient with acute coronary syndrome (ACS) is being treated in the ED. The patient has ST depression, anxiety, neck and arm pain on the left side, diaphoresis and nausea, and negative isoenzymes. What is the MOST likely diagnosis?
A patient presents with a partially occluding coronary artery clot, back pain, diaphoresis, exhaustion, female gender, and ST depression. What is the MOST likely diagnosis?
A patient presents with a partially occluding coronary artery clot, back pain, diaphoresis, exhaustion, female gender, and ST depression. What is the MOST likely diagnosis?
A patient presents to the ED with shortness of breath and diaphoresis, commenting, "I think I must have pneumonia." The patient's history includes hypertension, peptic ulcer disease, and diabetes. The 12-lead EKG demonstrates ST depression. What does this information MOST likely indicate?
A patient presents to the ED with shortness of breath and diaphoresis, commenting, "I think I must have pneumonia." The patient's history includes hypertension, peptic ulcer disease, and diabetes. The 12-lead EKG demonstrates ST depression. What does this information MOST likely indicate?
Which of the following is the MOST common cause of CAD?
Which of the following is the MOST common cause of CAD?
Which laboratory test is MOST useful in evaluating a patient for myocardial damage?
Which laboratory test is MOST useful in evaluating a patient for myocardial damage?
A patient with severe CAD is scheduled for a coronary artery bypass graft (CABG). What is the primary goal of this procedure?
A patient with severe CAD is scheduled for a coronary artery bypass graft (CABG). What is the primary goal of this procedure?
Following a percutaneous coronary intervention (PCI) with stent placement, what medication is MOST important for the patient to receive to prevent stent thrombosis?
Following a percutaneous coronary intervention (PCI) with stent placement, what medication is MOST important for the patient to receive to prevent stent thrombosis?
A patient with CAD reports experiencing chest pain more frequently and with less exertion than before. This pattern is MOST consistent with which type of angina?
A patient with CAD reports experiencing chest pain more frequently and with less exertion than before. This pattern is MOST consistent with which type of angina?
What is an expected outcome of administering ACE inhibitors to patients with CAD and heart failure?
What is an expected outcome of administering ACE inhibitors to patients with CAD and heart failure?
Which statement accurately describes the pathophysiology that results in CAD?
Which statement accurately describes the pathophysiology that results in CAD?
A patient is prescribed a statin medication to manage their CAD. What education is most relevant to provide?
A patient is prescribed a statin medication to manage their CAD. What education is most relevant to provide?
Which of the following is a primary non-pharmacological recommendation for a patient with CAD?
Which of the following is a primary non-pharmacological recommendation for a patient with CAD?
What is the primary mechanism by which nitrates relieve angina symptoms?
What is the primary mechanism by which nitrates relieve angina symptoms?
A patient who had a CABG surgery one week ago reports feeling depressed. Which of these answers is most appropriate?
A patient who had a CABG surgery one week ago reports feeling depressed. Which of these answers is most appropriate?
A patient has diabetes. You recommend which medicine because it decreases cardiac events and slows progression of diabetic kidney disease? Which medicine is this?
A patient has diabetes. You recommend which medicine because it decreases cardiac events and slows progression of diabetic kidney disease? Which medicine is this?
Which of the following medications is contraindicated with the use of nitrates?
Which of the following medications is contraindicated with the use of nitrates?
You have a patient who has known CAD. They are getting ready to discharge prior to their discharge, what do you recommend?
You have a patient who has known CAD. They are getting ready to discharge prior to their discharge, what do you recommend?
What lipid levels are desirable in a patient getting ready for discharge who has CAD?
What lipid levels are desirable in a patient getting ready for discharge who has CAD?
You are caring for a patient with a history of CAD. During your assessment, the patient experiences sudden chest pain and shortness of breath. Which of the following is the MOST appropriate initial nursing intervention?
You are caring for a patient with a history of CAD. During your assessment, the patient experiences sudden chest pain and shortness of breath. Which of the following is the MOST appropriate initial nursing intervention?
Which of the following diagnostic procedures would be MOST effective to determine the extent and severity of CAD?
Which of the following diagnostic procedures would be MOST effective to determine the extent and severity of CAD?
You are providing discharge instructions to a patient following a myocardial infarction. Which of the following statements by the patient indicates a good understanding of secondary prevention measures?
You are providing discharge instructions to a patient following a myocardial infarction. Which of the following statements by the patient indicates a good understanding of secondary prevention measures?
What is the MOST important teaching for a patient receiving a prescription for clopidogrel for CAD with a recent PCI?
What is the MOST important teaching for a patient receiving a prescription for clopidogrel for CAD with a recent PCI?
A patient with angina already takes a beta blocker. An additional medication to control the angina may be contraindicated after you review which aspect of the patient assessment?
A patient with angina already takes a beta blocker. An additional medication to control the angina may be contraindicated after you review which aspect of the patient assessment?
Which of the following serum cholesterol values is MOST associated with coronary artery disease?
Which of the following serum cholesterol values is MOST associated with coronary artery disease?
Flashcards
Pedal Edema and PAD
Pedal Edema and PAD
Edema is not a typical symptom of peripheral arterial disease.
CAD Risk Factors
CAD Risk Factors
Elevated CRP, smoking, and hypertension are risk factors for CAD.
Angina First Action
Angina First Action
At the onset of angina, and diagnosed CAD, take nitroglycerin sublingually.
MI Complications
MI Complications
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CAD Revascularization
CAD Revascularization
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ASCVD Modifiable Risks
ASCVD Modifiable Risks
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CAD & Beta Blocker
CAD & Beta Blocker
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ST Depression Diagnosis
ST Depression Diagnosis
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Suspect STEMI?
Suspect STEMI?
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Sudden Chest Pain
Sudden Chest Pain
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Rewarming After Bypass
Rewarming After Bypass
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Post-MI Complications
Post-MI Complications
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Suspecting pain?
Suspecting pain?
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What to do with angina?
What to do with angina?
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ACS diagnosis?
ACS diagnosis?
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Suspecting NSTEMI?
Suspecting NSTEMI?
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Silent Ischemia?
Silent Ischemia?
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Study Notes
- Perfusion Practice Questions: CAD
Peripheral Arterial Disease Symptoms
- Pedal edema is not a symptom of peripheral arterial disease
Peripheral Arterial Disease Question
- The non-symptom is Pedal edema
Risk Factors of CAD
- Elevated CRP (C reactive protein) is a risk factor
- Smoking is a risk factor
- History of HTN is a risk factor
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