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Disorders of Myocardial Perfusion
  • MM

  • 問題数 82 • 12/1/2023

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  • 1

    Generic name that refers to the effects of the accumulation of atherosclerotic plaques in the coronary arteries that obstruct blood flows to the myocardium

    Coronary Artery Disease

  • 2

    An abnormal accumulation of lipid or fatty substances and fibrous tissue in the lining of arterial blood vessel wall.

    Atherosclerosis

  • 3

    There are number of risk factors associated with CAD. Which of the following is a nonmodifiable risk factor?

    Age

  • 4

    There are a number of risk factors associated with CAD. Which of the following is a modifiable risk factor?

    obesity

  • 5

    It negates the protective effect of estrogen to the heart.

    Lack of estrogen in women

  • 6

    It is associated with high triglycerides and LDL level, decrease HDL and induce glucose intolerance by increasing the plasma insulin response to oral glucose.

    Use of oral contraceptives

  • 7

    Which of the following is not a cause of CAD?

    Exercise

  • 8

    Which is a symptom of CAD?

    Pain or numbness in the chest, arms, jaw

  • 9

    What are the ECG changes seen with patients having CAD?

    ST depression and T wave inversion

  • 10

    When teaching a client with CAD about nutrition, the nurse should emphasize

    Avoiding heavy meal

  • 11

    A stimulant that causes vasoconstriction which results to decrease blood flow. A SNS stimulation releases catecholamine which increases the workload that is why the BP and HR increases

    Nicotine

  • 12

    What is the first line treatment of hypertriglyceredemia?

    Niacin or Nicotinic acid

  • 13

    The patient is taking Aspirin. The nurse know that Aspirin is nephrotoxic. What shoud be the nurse, first to monitor?

    Liver Function Test

  • 14

    A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control of 11 seconds. The nurse assesses that this result is:

    Within therapeutic range

  • 15

    IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit?

    Protamine Sulfate

  • 16

    Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the nurse instruct the client to use the drug when chest pain occurs?

    Take 1 tab, then an additional tab every 5 minutes for a total of 3 tabs. Call the physician if pain persists after 3 tabs.

  • 17

    A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan?

    Apply the patch to a non-hairy area of the upper torso or arm.

  • 18

    It is MOST important for the nurse to instruct a patient prescribed nitroglycerin to avoid which substance?

    Erectile dysfunction drugs

  • 19

    The client asks the nurse how nitroglycerin should be stored while traveling. What is the nurse's best response?

    It's best to keep it in its original container away from heat and light.

  • 20

    Which statement indicates to the nurse that the client understands sublingual nitroglycerin medication instructions?

    I should sit or lie down after I take a nitroglycerin tablet to prevent dizziness.

  • 21

    Clinical syndrome usually characterized by episodes or paroxysms of pain or pressure in the anterior chest. Means strangling of the chest.

    Angina Pectoris

  • 22

    What is the drug of choice for Angina Pectoris?

    Nitroglycerin

  • 23

    A patient with stable angina is more likely to experience chest pain when the heart needs extra oxygen. During which of the following situations does the heart need extra oxygen?

    All of the above

  • 24

    Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication?

    Stable Angina

  • 25

    When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to occur, the nurse recognizes that the patient is describing

    Unstable Angina

  • 26

    Which of the following terms refers to severe incapacitating chest pain?

    Intractable or Refractory Angina

  • 27

    Which of the following terms refers to the pain at rest with reversible ST segment elevation caused by coronary artery vasospasms?

    Prinzmetal’s Angina

  • 28

    Which of the following terms refers to the objective evidence of ischemia e.g. ECG changes with stress testing but client reports no pain?

    Silent Ischemia

  • 29

    Which of the following terms refers to the pain that radiate down one or both arms, with pain in the left arm being more common, into the shoulder, neck jaw, or back; brought about by exertion and relieved by rest and a vasodilator agent?

    Anginal Pain

  • 30

    It is a marker for inflammation of vascular endothelium

    C-Reactive Protein

  • 31

    What are the ECG changes seen with patients having Angina Pectoris?

    ST depression and T wave inversion

  • 32

    Causes dilation of the veins venous pooling of the blood throughout the body less blood returns to the heart and filling pressure (preload) is reduced

    Nitroglycerin

  • 33

    Before giving beta-blockers to patient with Angina Pectoris, what should be the nurse, first to monitor?

    BP

  • 34

    It is a drug therapy that helps control chest pain and delay the onset of ischemia during work or exercise.

    Beta-blockers (Metropolol, Atenolol)

  • 35

    What are some side effects of beta-blockers?

    Fatigue

  • 36

    This drug therapy is indicated in clients not responsive to beta-blockers; the drug of choice to prevent vasospasms.

    Calcium channel blockers (Amplodipine, Diltiazem)

  • 37

    Which of the following is a side effect of Calcium Channel Blockers?

    Hypotension

  • 38

    This drug therapy refers for hospitalized patient with unstable angina and adjuct therapy for PCI. It also prevent platelet aggregation.

    Glycoprotein IIb/IIIa agents (Abciximab, Eptifibatide)

  • 39

    Which statement below accurately describes how statin medications work to lower cholesterol levels?

    Statins inhibit HMG-CoA reductase which in turn hinders cholesterol synthesis in the liver.

  • 40

    What is the side effects of Statin?

    Myalgia

  • 41

    Nursing consideration to patient taking Statin medication.

    Given during hour sleep

  • 42

    What is the adverse effects of Statin?

    Rhabdomyolysis

  • 43

    This drug therapy helps relax the veins and arteries to lower the Blood Pressure and prevent an enzyme in the body from producing Angiotensin II.

    ACEI (Captopril)

  • 44

    An ACE inhibitor that is potent vasoconstriction and stimulation of aldosterone release.

    Captopril

  • 45

    When treating Angina, what is the position of the patient to decrease the amount of oxygen requirement?

    Semi-fowlers position

  • 46

    In Angina pectoris, it is a signs where patients cleanched their fist hand held in front of the chest.

    Levigne’s signs

  • 47

    An emergent condition characterized by acute onset of Myocardial Ischemia

    Acute Coronary Syndrome

  • 48

    It occurs when myocardial tissue is abruptly and severely deprived of oxygen. Due to sudden occlusion of a coronary artery followed by cessation of blood flow to a part of the myocardial tissue.

    Acute Myocardial Infarction

  • 49

    You note in the patient's chart that the patient recently had a myocardial infarction due to a blockage in the left coronary artery. You know that which of the following is true about this type of blockage?

    Left coronary artery blockages can cause anterior wall death which affects the left ventricle.

  • 50

    After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

    Left-sided Heart Failure

  • 51

    Which of the following arteries primarily feeds the anterior wall of the heart?

    left anterior descending artery

  • 52

    Which of the following arteries primarily feeds the posterior wall of the heart?

    circumflex artery

  • 53

    Which of the following arteries primarily feeds the inferior wall of the heart?

    right coronary artery

  • 54

    These are the following etiology of Acute MI. Select all that apply.

    CAD, Coronary vasospasm, Coronary artery

  • 55

    Increased jugular venous distention may indicates

    right sided heart failure

  • 56

    Allows examination of the heart from varying perspectives that provides information that assist in ruling out MI or diagnosing acute MI.

    12-lead ECG

  • 57

    In Acute MI, what is the ecg changes of patient who has diagnosed with ischemia?

    T wave inversion

  • 58

    In acute MI, what is the ecg changes of patient who has an injury?

    ST segment Elevation

  • 59

    In acute MI, patient that has ecg changes of Abnormal Q wave may indicates of

    MI

  • 60

    Abnormal Q wave maybe present with or without ST segment and T wave changes may indicates

    Old Acute MI

  • 61

    ECG shows evidence of Acute MI with characteristic changes in 2 contiguous leads on 12-lead ECG. Diagnostic indicator of MI

    STEMI (ST Elevation Myocardial Infarction)

  • 62

    V1, V2 ST elevation may indicates

    Septal MI

  • 63

    V3, V4 ST elevation may indicates

    Anterior MI

  • 64

    V5, V6 ST Elevation may indicates

    Lateral MI

  • 65

    the patient has elevated cardiac biomarkers but NO definite ECG evidence of Acute MI.

    NSTEMI (Non-ST Elevation Myocardial Infarction)

  • 66

    used to evaluate ventricular function and Used in diagnosing MI especially when ECG is nondiagnostic.

    Echocardiogram

  • 67

    cardiac specific isoenzyme, begins to increase within a few hours (4-6 hrs) after onset of chest pain and peaks within 24 hours of an infarct.

    CK-MB

  • 68

    Elevated CK-MB may indicate

    Acute MI

  • 69

    protein found in the myocardium, regulates contractile process and are reliable and critical markers of myocardial injury.

    Troponin

  • 70

    A cardiac biomarkers that is a heme protein that transport oxygen

    Myoglobin

  • 71

    These are the goal medical management of the Acute MI. Select all that apply

    Minimize myocardial damage , Preserve myocardial function , Prevent complications

  • 72

    Drug of choice to reduce pain and anxiety

    Morphine Sulfate

  • 73

    When patient is receiving morphine sulfate, the nurse should assess

    Monitor BP, Monitor HR

  • 74

    a family of minimally invasive procedures used to open clogged coronary arteries

    Emergent Percutaneous Coronary Intervention (PCI)

  • 75

    A balloon-tipped catheter is used to open blocked coronary vessels and resolve ischemia.

    PTCA (Percutaneous Transluminal Coronary Angioplasty)

  • 76

    What is the purpose of PTCA in patient with Acute MI

    To improve blood flow within a coronary artery by compressing and “cracking” the atheroma.

  • 77

    What are the indications for patient having acute MI taking thrombolytics ?

    Chest pain lasting more than 20 minutes, unrelieved by nitroglycerin., ST-segment elevation in at least two leads that face the same area of the heart., Less than 6 hours from onset of pain

  • 78

    Clot bluster

    Thrombolytics

  • 79

    What are the prescribed medication for patient having Acute MI?

    Morphine Sulfate, Oxygen, Nitroglycerin , Anticoagulants

  • 80

    What is the nutritional management for patient having Acute MI?

    Low fat, cholesterol, sodium diet

  • 81

    What is the best position for patient with Acute MI?

    Semi-Fowlers

  • 82

    creates new routes around narrowed and blocked arteries allowing sufficient blood flow to deliver oxygen and nutrients to the heart.

    CABG