Podcast
Questions and Answers
Plaque on the inner lumen of the arteries is composed chiefly of what?
Plaque on the inner lumen of the arteries is composed chiefly of what?
Angina is most often attributable to what cause?
Angina is most often attributable to what cause?
What nursing diagnosis underlines the discomfort associated with angina?
What nursing diagnosis underlines the discomfort associated with angina?
If the patient's symptoms are due to an MI, what will have happened to the myocardium?
If the patient's symptoms are due to an MI, what will have happened to the myocardium?
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How should the nurse interpret initial data of a client with pale skin and mid-sternal chest pain?
How should the nurse interpret initial data of a client with pale skin and mid-sternal chest pain?
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The vessel most commonly used as a source for a CABG is what?
The vessel most commonly used as a source for a CABG is what?
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Which syndrome should the nurse suspect based on the findings including high blood pressure and waist circumference?
Which syndrome should the nurse suspect based on the findings including high blood pressure and waist circumference?
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What is the nurse's best response to a client feeling afraid of dying during surgery?
What is the nurse's best response to a client feeling afraid of dying during surgery?
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Before administering nitroglycerin, what potential adverse effects should the nurse inform the client about?
Before administering nitroglycerin, what potential adverse effects should the nurse inform the client about?
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What risk factors can be controlled or modified for coronary artery disease?
What risk factors can be controlled or modified for coronary artery disease?
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What nursing assessment activity is a priority on admission to the CCU for a client with MI?
What nursing assessment activity is a priority on admission to the CCU for a client with MI?
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What should the focuses of CAD treatment be for a client without symptoms?
What should the focuses of CAD treatment be for a client without symptoms?
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What should a patient do during activity if they experience which symptoms?
What should a patient do during activity if they experience which symptoms?
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What therapeutic effect is intended by treating a client with amlodipine?
What therapeutic effect is intended by treating a client with amlodipine?
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What is the desired goal for cholesterol levels?
What is the desired goal for cholesterol levels?
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What are the primary ways that tobacco use impacts coronary artery disease?
What are the primary ways that tobacco use impacts coronary artery disease?
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To minimize cardiac damage on admission, what intervention should the nurse expect to administer?
To minimize cardiac damage on admission, what intervention should the nurse expect to administer?
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In which order should the nurse assess and treat a client reporting chest pain?
In which order should the nurse assess and treat a client reporting chest pain?
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When assessing a client with angina pectoris, what information is most important for the nurse to gather?
When assessing a client with angina pectoris, what information is most important for the nurse to gather?
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What is the nurse's most appropriate initial action when an angina attack begins?
What is the nurse's most appropriate initial action when an angina attack begins?
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What drug should the nurse anticipate administering to a client with suspected MI?
What drug should the nurse anticipate administering to a client with suspected MI?
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What signs and symptoms are suggestive of acute coronary syndrome (ACS)?
What signs and symptoms are suggestive of acute coronary syndrome (ACS)?
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How can the nurse best meet the psychosocial needs of a client with ACS?
How can the nurse best meet the psychosocial needs of a client with ACS?
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What drug should a nurse anticipate administering to a patient post coronary artery stent placement?
What drug should a nurse anticipate administering to a patient post coronary artery stent placement?
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What anticipatory guidance should the nurse provide to a client scheduled for PCI?
What anticipatory guidance should the nurse provide to a client scheduled for PCI?
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What is the nurse's most appropriate action when a client begins bleeding from the PCI access site?
What is the nurse's most appropriate action when a client begins bleeding from the PCI access site?
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What signs and symptoms of MI are particularly common in female patients?
What signs and symptoms of MI are particularly common in female patients?
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What is the nurse's most appropriate action for a postoperative client producing 20 ML of urine in 3 hours?
What is the nurse's most appropriate action for a postoperative client producing 20 ML of urine in 3 hours?
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What intervention best addresses the risk for ineffective airway clearance related to pulmonary secretions?
What intervention best addresses the risk for ineffective airway clearance related to pulmonary secretions?
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Study Notes
Cholesterol and Coronary Artery Disease
- Elevated cholesterol levels lead to plaque formation in arteries, primarily composed of lipids and fibrous tissue.
- Angina, characterized by chest pain on exertion, is often caused by coronary arteriosclerosis.
Angina Classification and Nursing Diagnosis
- Unstable angina presents with severe, prolonged pain typically at rest without precipitating factors.
- Nursing diagnosis for angina discomfort includes ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD).
Myocardial Infarction (MI) and Assessment
- Delayed treatment during an MI increases myocardial infarction area, leading to more cardiac damage.
- Acute coronary episodes are indicated by symptoms such as unrelieved chest pain and pale skin.
Surgical Procedures and Risk Factors
- The greater saphenous vein is the most commonly used graft for coronary artery bypass grafting (CABG).
- Metabolic syndrome, a cluster of risk factors including obesity and hypertension, significantly increases cardiovascular disease risk.
Client Education and Management in Cardiac Care
- Clients should be taught to cease activity if experiencing chest pain, palpitations, or dyspnea.
- Therapeutic lifestyle changes for high cholesterol include targeting low LDL and high HDL levels.
Pharmacotherapy in Cardiac Conditions
- Common treatments for angina may include nitroglycerin; potential side effects include headaches or dizziness.
- Morphine is part of the initial treatment for MI, following the MONA protocol (morphine, oxygen, nitroglycerin, aspirin).
Psychosocial Considerations
- Addressing client anxieties and fears regarding cardiac procedures is essential for psychological well-being.
- Educating clients and their families about coronary artery disease risk factors that can be modified, such as hypertension and smoking, is crucial.
Follow-Up and Postoperative Care
- After procedures like PCI, maintaining a clear and open access site is vital; apply pressure to control bleeding if it occurs.
- Monitoring urine output post-surgery is key; low output may indicate renal insufficiency and requires timely intervention.
Gender-Specific Symptoms in MI
- Women may experience atypical symptoms during a myocardial infarction such as indigestion and nausea, alongside common signs like shortness of breath.
Cardiac Rehabilitation and Lifestyle
- Engaging clients in cardiac rehabilitation and ensuring they participate in deep-breathing exercises post-surgery promotes recovery and effective airway clearance.
- Clients should be made aware of their particular risk factors for CAD and empowered to make lifestyle changes accordingly.
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Description
This quiz focuses on the management of patients with coronary vascular disorders, based on key concepts from Chapter 23. It includes essential questions about cholesterol levels and plaque composition. Perfect for nursing students and healthcare professionals preparing for exams.
