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</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?</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</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</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</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</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)</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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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