CH 24
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Questions and Answers

The nurse is caring for a group of patients. Which patient is at highest risk for having atherosclerosis because of nonmodifiable risk factors?

  • A 21-year-ole male who drinks socially and has a high cholesterol level
  • A 65-year-old male who smokes socially and has a brother with heart disease (correct)
  • A 32-year-old female who lives a sedentary life style and follows a low-fat diet
  • A 73-year-old female who smokes and is a Black American

A patient with peripheral arterial disease(PAD)is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse to take?

  • Notify the physician
  • Cover the patient with a blanket
  • Evaluate the distal pulses (correct)
  • Have the patient lie in bed with a pillow under the knees

The nurse is teaching a patient about coronary artery disease and explains atherosclerosis. Which statement made by the patient indicates an understanding of the teaching?

  • This means my heart isn't pumping like it should
  • This is an inflammation of the sac around the heart
  • It is the loss of elasticity and calcification of the arterial walls
  • I have plaque in my arteries that can lead to a heart attack (correct)

The nurse is preparing to deliver nitroglycerin to a client with chest pain that is 4 on a 0-10 scale. How should the nurse deliver the medication?

<p>One tablet every 5 minutes for 3 doses until pain is relieved (C)</p> Signup and view all the answers

The nurse is collecting data on a patient having severe chest pain who may be a candidate for receiving tissue plasminogen activator(t-PA), Which question is most important for the nurse to ask?

<p>How long ago did the chest pain begin? (A)</p> Signup and view all the answers

The nurse is teaching a patient about dietary changes for a new diagnosis of atherosclerosis. What should the nurse include?

<p>Low-fat food options (A)</p> Signup and view all the answers

The nurse is assessing a patient who is receiving rosuvastatin(Crestor)to reduce cholesterol. Which finding is most concerning?

<p>The patient has elevated liver function studies (B)</p> Signup and view all the answers

The nurse is caring for a group of patients. Which patient is the priority?

<p>A patient with an aneurysm reporting sudden back pain (B)</p> Signup and view all the answers

The nurse is teaching a patient with an abdominal aortic aneurysm(AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

<p>I will walk 20 minutes every other day (C)</p> Signup and view all the answers

A patient who develops chest pain says the pain is a 9 on a scale of 0-10. Which action should the nurse take?

<p>Notify the registered nurse(RN) (A)</p> Signup and view all the answers

The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

<p>Apply compression stockings (C)</p> Signup and view all the answers

The nurse is caring for a patient who underwent a cardiac catheterization with a right femoral approach. During a neurovascular check, the nurse notes the extremity is cool to touch and dusky. Which action should the nurse take?

<p>Notify the HCP (C)</p> Signup and view all the answers

A patient who is being treated for severe chest pressure says it feels "as if someone is standing on my chest" What action should the nurse take first?

<p>Obtain vital signs (A)</p> Signup and view all the answers

The nurse is reviewing laboratory values for a patient with chest pain. Which finding is most concerning?

<p>Elevated troponin (C)</p> Signup and view all the answers

The nurse is reinforcing teaching a patient about resuming sexual activity following an MI 5 days ago. Which statement indicates patient understanding?

<p>I should be able to resume sexual activity in 1 to 2 months (B)</p> Signup and view all the answers

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

<p>Avoid stimulation that causes vasoconstriction (C)</p> Signup and view all the answers

The nurse is caring for a patient with early symptoms of an AAA. What symptoms should the nurse anticipate?

<p>Abdominal fullness and nausea (C)</p> Signup and view all the answers

The nurse is collecting data on a patient with minor chronic venous disease. What finding are anticipated?

<p>Telangiectasias (C)</p> Signup and view all the answers

The nurse is assessing a patient with an aneurysm. Which finding should be reported to the RN immediately?

<p>The patient reports sudden flank pain (B)</p> Signup and view all the answers

The nurse is caring for a patient with inflammation of the lymph nodes under the arms from a strep infection. Which interventions should the nurse implement first?

<p>Administer antibiotics as prescribed (D)</p> Signup and view all the answers

The nurse is caring for a patient why says :"My dad died from an abdominal aortic aneurysm and I'm afraid the same thing will happen to me." How should the nurse reply?

<p>Your risk can be reduced by taking care of yourself (C)</p> Signup and view all the answers

The nurse is collecting data from a patient experiencing chest pain. Which finding is most concerning?

<p>Diaphoresis (D)</p> Signup and view all the answers

The nurse is collecting data from a patient who has chronic venous insufficiency of the lower extremities. Which finding is anticipated?

<p>Leathery, brown skin (A)</p> Signup and view all the answers

The nurse is caring for a patient who has angina. Which medication should the nurse anticipate will be prescribed?

<p>Ranolazine(Ranexa) (C)</p> Signup and view all the answers

The physician prescribes nitroglycerin for a patient with anterior MI. The patient's vital signs are apical pulse 52 beats/mintue and blood pressure 80/60 mm Hg What action should the nurse take?

<p>Report the vital signs to the RN (B)</p> Signup and view all the answers

The nurse is assessing a patient who underwent repair for an AAA. Which finding should the nurse report to the RN?

<p>An increase in abdominal girth (B)</p> Signup and view all the answers

The nurse is teaching a patient about Buerger disease. Which lifestyle change is recommedned?

<p>Smoking cessation (B)</p> Signup and view all the answers

The nurse is teaching a group of patients about risk factors for heart disease. Which does the nurse identify as a modifiable risk factor?

<p>Hypertension (A)</p> Signup and view all the answers

The nurse is caring for a client experiencing chest pain for 6 hours. The laboratory tests reveal elevated troponin I and Myoglobin levels. What actions should the nurse take?

<p>Monitor for complications (A), Provide rest in bet or chair (B), Treat chest pain (C), Provide bedpan for elimination (D)</p> Signup and view all the answers

The nurse is delivering fast-acting nitroglycerin. What should be considered?(Select all that apply.)

<p>Place tablet under the tongue (A), Rise slowly after taking tablet (B), Sit or lie down when taking tablet (C), Take before activity known to cause angina (D)</p> Signup and view all the answers

The nurse is teaching a group of patients with heart disease about stable and unstable and unstable angina. What should the nurse include in the teaching?(Select all that apply)

<p>Pain with stable angina is predictable (B), Unstable angina can lead to an MI (C), Angina is caused by a lack of oxygen to the heart (D)</p> Signup and view all the answers

The nurse is caring for a patient with pain. Which areas should be considered as locations of angina pain?

<p>Neck or jaw (A), Epigastric region (B), Han, Arm radiation (C), Intrascapular (D)</p> Signup and view all the answers

Flashcards

Atherosclerosis risk factors (non-modifiable)

Factors that cannot be changed, increasing the risk of atherosclerosis. Examples include age, gender, and family history.

Peripheral Arterial Disease (PAD) assessment

Assessing distal pulses and checking for coolness and reddish-purple discoloration of the feet in a patient with PAD is crucial for diagnosis and treatment.

Coronary Artery Disease (CAD) understanding

Patient understanding of atherosclerosis as plaque buildup in arteries leading to potential heart attack.

Nitroglycerin administration (mild pain)

Administer one nitroglycerin tablet every five minutes up to three times for chest pain of 4/10 or less.

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t-PA treatment time

Determining the time of onset of chest pain is crucial for determining t-PA treatment eligibility and effectiveness.

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Atherosclerosis diet

Low-fat food options are recommended for dietary management of atherosclerosis to reduce cholesterol and improve overall health.

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Rosuvastatin (Crestor) monitoring

Monitoring liver function tests (LFTs) is crucial when a patient is taking rosuvastatin to prevent potential liver damage.

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Priority patient (acute condition)

A patient with an aneurysm and sudden back pain is the immediate priority due to the potential for a serious medical emergency.

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AAA activity guidance

Patients with abdominal aortic aneurysms (AAA) should avoid strenuous activities and limit physical exertion to prevent rupture.

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Severe chest pain response

A patient reporting severe chest pain (9/10 scale) requires immediate notification of the Registered Nurse (RN) due to the severity and potential need for rapid medical intervention.

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Venous stasis ulcers treatment

Applying compression stockings is a key treatment for venous stasis ulcers to provide support and promote healing.

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Cardiac catheterization complication

If a patient has a post-cardiac catheterization extremity that's cool and dusky, notify the healthcare provider (HCP) immediately due to possible complications like thrombosis.

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Severe chest pressure assessment

Obtain vital signs first when a patient reports severe chest pressure to assess general health status and prioritize immediate needs.

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Concerning cardiac lab value

Elevated troponin levels in a patient with chest pain indicate potential heart damage and require immediate attention due to risk of a heart attack.

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Post-MI sexual activity timeline

After a heart attack (MI), resuming sexual activity should be gradual and delayed for at least one to two months based on cardiac recovery.

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Raynaud's disease prevention

Avoiding factors, including temperature fluctuation and hand stimulation which can cause vasoconstriction, is a crucial measure to prevent Raynaud's disease attacks.

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AAA early symptoms

Early abdominal aortic aneurysm (AAA) symptoms may include abdominal fullness and nausea due to the expanding aneurysm.

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Chronic venous disease finding

Telangiectasias, tiny dilated blood vessels visible on the skin, are common physical signs in patients with chronic venous disease.

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Urgent aneurysm assessment finding

Sudden flank pain in a patient with an aneurysm requires immediate reporting to the RN as it suggests potential rupture.

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