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

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

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

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

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