CBRC Cardiovascular Condition

30問 • 3年前

問題一覧

Which of the following controllable risk factors for coronary artery disease [CAD] appears most closely linked to the development of the disease?

High cholesterol levels

Which of the following blood tests is most indicative of cardiac damage?

Troponin I

What is the primary reason for administering morphine to a client with myocardial infarction?

To decrease oxygen demand on the client's heart

The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?

Activity and rest guidelines

You are working in the emergency department (ED) when a patient arrives, complaining of substernal and left arm discomfort that has been going on for 3 hours. All of these baseline laboratory tests are drawn. Which one will be most useful in determining whether you should anticipate implementing the acute coronary syndrome (ACS) standard orders?

Troponin I

A 60-year-old male client comes into the emergency department with complaints of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Which of the following admission orders should the nurse prioritize?

Administer the morphine

What is the most common complication of a myocardial infarction?

Heart failure

Which of the following is an uncontrollable risk factor that has been linked to:

Hereditary

Atherosclerosis impedes coronary blood flow by which of the following mechanisms?

Plaques obstruct the artery

Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?

200 mg/dl

Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge?

Prothrombin Time (PT/INR).

A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin time of 35 seconds. Based on the prothrombin time, the nurse anticipates which of the following orders?

Holding the next dose of warfarin

The physician has prescribed a low molecular weight heparin, enoxaparin (Lovenox), 30 mg IVP b.i.d. for a client following hip replacement. Prior to administering the first dose, which intervention is most important for the nurse to implement?

Assess the client's IV site for signs of inflammation.

A nurse has an order to begin administering Heparin (Lovenox) to a client. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for this drug?

Protamine sulphate

A client being treated for an acute myocardial infarction is to receive tissue plasminogen activator (Genevase). The nurse would be correct in providing which explanation to the client regarding the purpose of this drug?

This "clot buster" dissolves clots within a coronary artery.

The doctor prescribed lovastatin in a client. Which of the following conditions will lead the nurse to question the order?

The patient has hepatitis C.

The doctor prescribed lovastatin in a client. Which of the following are appropriate nursing care/knowledge to teach for patient taking this drug? 1.Report for muscle weakness 2.This drug causes cataract 3.It lowers HDL 4.It is best taken in the morning 5.It is best taken in the evening 6.Perform liver function test

1,2,5,6

The patient diagnosed with hypercholesterolemia is taking Lovastatin. Which of the following client statements needs further teaching?

“I should take my dose in the morning.”

Which of the following is a priority in a client diagnosed with pericarditis?

Pericardial friction upon auscultation

Which of the following would be expected in a client diagnosed with myocarditis?

Fatigue

Tissue plasminogen activator [t-PA], is administered during the first 6 hours after onset of MI to:

Revascularize the blocked coronary artery

Patient is taking Coumadin, what teaching should the nurse include?

“Do not abruptly change the diet.”

A client is taking Clopidogrel. Which of the following diseases would this drug be contraindicated?

Cerebrovascular accident

Patient is taking Coumadin, which of the following statements would require further teaching?

“I love eating green leafy salad.”

A client complains of crushing chest pain 3 hours prior to arrival in the emergency department. Initial vital signs show hypotension; a weak, thread pulse; cool, clammy skin; and confusion. Which intervention should the nurse perform FIRST?

Intravenous access

A client is taking VARDENAFIL [Levitra]. Which of the following is a major side effect when this drug is taken with NITRATES?

Fatal hypotension

The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including

Headache

What is a characteristic of angina pectoris?

It is managed by nitrogylcerine.

Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?

Enhance myocardial oxygenation

Prior to sending a client for a cardiac catheterization, it would be most important for the nurse to report which of the following?

The client has an allergy to shellfish

Critical Med Surg Pentagon

Castle Aranza · 31問 · 3年前

Critical Med Surg Pentagon