Nursing Communication and Alternative Therapies Quiz

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What is one of the most important aspects of care for a patient with Acute Coronary Syndrome (ACS)?

Changing IV lines to a saline lock

Administering emergency medications immediately

Performing a focused physical assessment (correct)

Placing two IV lines for medication administration

Why are two IV lines typically placed for any patient with ACS?

To ensure access for administering emergency medications (correct)

To provide timely adjustment of IV medications

To prevent complications associated with ACS

To maintain IV access for emergency medications

What role does the assessment play in the care of a patient with ACS?

It ensures timely adjustment of IV medications

It identifies the patient's needs and determines their priority (correct)

It maintains IV access for administering emergency medications

It helps in monitoring the effectiveness of emergency medications

Why are medications administered IV for a patient with ACS?

To achieve rapid onset and timely adjustment Signup and view all the answers

What is the purpose of changing IV lines to a saline lock after the patient's condition stabilizes?

To maintain IV access without continuous fluid infusion Signup and view all the answers

What is the most preferred term used synonymously with coronary occlusion and heart attack?

Myocardial infarction Signup and view all the answers

What can help certain patients relax and reduce anxiety?

Pet therapy Signup and view all the answers

What is critical in the close monitoring for and early identification of complications after acute MI?

Changes in patient's vital signs Signup and view all the answers

How can the nurse increase the probability that the patient will implement a self-care regimen after discharge?

By identifying the patient's priorities Signup and view all the answers

What does the spectrum of acute coronary syndrome (ACS) include?

All of the above Signup and view all the answers

What is the main perpetrator of a 'heart attack'?

Coronary artery disease (CAD) Signup and view all the answers

What causes complications after acute MI?

Reduced coronary blood flow Signup and view all the answers

What is starved of oxygen in acute MI, leading to myocardial cell necrosis?

Myocardium Signup and view all the answers

What should the nurse monitor closely for changes in after acute MI?

Laboratory values Signup and view all the answers

What is the top priority in the care of a patient with an ACS?

Relieving pain and other signs and symptoms of ischemia Signup and view all the answers

Why is elevation of the head and torso beneficial for a patient with ACS?

To increase venous return to the heart, reducing the work of the heart Signup and view all the answers

What is the purpose of administering oxygen to a patient with ACS?

To assist with relief of symptoms Signup and view all the answers

What is the rationale for promoting skin temperature and peripheral pulse checks frequently in a patient with ACS?

To monitor tissue perfusion Signup and view all the answers

Why is developing a trusting and caring relationship critical in reducing anxiety for a patient with ACS?

To reduce sympathetic stress response and workload of the heart Signup and view all the answers

What is the goal of providing information to the patient and family in an honest and supportive manner?

To encourage the patient to be a partner in care Signup and view all the answers

What may be measured in the blood to assess myocardial damage?

Troponin I and T Signup and view all the answers

How is patients' chest pain typically described?

Central chest pain or tightness described as dull or crushing Signup and view all the answers

What mnemonic can be used to assess patients' chest pain?

SOCRATES Signup and view all the answers

What are some symptoms that may occur with or without chest pain?

Shortness of breath, palpitations, syncope, or autonomic symptoms Signup and view all the answers

What is a general priority for patients with Acute Coronary Syndrome (ACS)?

Hemodynamic monitoring and close observation of vital signs Signup and view all the answers

What should nurses be able to recognize when caring for patients who recently had coronary angiography?

Complications related to radial or femoral access sites Signup and view all the answers

What is an important aspect of nursing care for patients with ACS?

Swift recognition of any cardiac changes on the serial EKGs Signup and view all the answers

What elements of nursing care should nurses provide for patients with ACS?

Ongoing management of IV cannulas, central venous pressure lines, urinary catheters, and wounds and dressings Signup and view all the answers

What role do nurses play in providing psychosocial support to patients with ACS?

Calm, reassuring, and ensuring pain and other symptoms are well controlled Signup and view all the answers

What should nurses do when possible in terms of patient communication?

Give patients a chance to speak about their experiences, address their concerns and relay these to the multidisciplinary team Signup and view all the answers