Exam 6: Care of the Patient Experiencing Shock

A nurse is discussing management of hypertension with a patient. Which patient statement indicates that additional teaching about the relationship between hypertension and acute coronary syndrome (ACS) is needed?

What intervention should the nurse include when planning care for a patient recovering from PCI with stent placement? Select all that apply.

The nurse cares for a patient recovering from coronary artery bypass grafting (CABG) surgery. Which action should the nurse take to maximize this patient's renal function? Select all that apply.

Which statement explaining the relationship of body weight to acute coronary syndrome (ACS) should the nurse include when presenting a healthy heart program to a community group?

An 80-year-old woman is being assessed for a myocardial infarction. Which symptoms would more likely occur in this patient because of the patient's gender and age?

A patient says, "The chest pain occurs each time I play basketball; it does not occur when I am sleeping; and it improves when I take those pills under my tongue." What health problem is this patient describing?

The nurse prepares material highlighting the impact of activity and exercise on preventing heart disease for a group of community members. What other risk factors for heart disease should the nurse emphasize that are positively impacted by exercise? Select all that apply.

A patient being discharged after an MI is prescribed lisinopril (Prinivil) 10 mg daily. Which instruction is most appropriate for the nurse to give to the patient?

The nurse begins emergency care of a patient with a myocardial infarction. Place in order the medication interventions that the nurse will provide to this patient.

The nurse is teaching a patient about acute coronary syndrome. What should the nurse teach that describes the progression of events in this disorder?

What should be included in the collaborative management of a patient's pulmonary status following coronary artery bypass graft surgery?

A nurse is caring for a patient who has just started to bleed from the insertion site following a cardiac catheterization. What should be the nurse's first response?

The nurse instructs a patient on the procedure for percutaneous transluminal coronary intervention (PCTI) with stent placement. Which patient statement indicates that teaching has been effective? Select all that apply.

A patient is admitted with chest discomfort and a possible USA/NSTEMI. What would be a contraindication to administration of GP-IIb-IIIA inhibitors to the patient?

A patient tells a nurse, "My chest pain starts when I am resting, and when I had a cardiac catheterization, the doctor said I was having vasospasms." Which type of medication should the nurse anticipate to be prescribed to treat the patient's angina?

The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST segment has returned to baseline. How should the nurse interpret this finding?

The nurse reviews orders written for a patient with non-ST-segment elevation myocardial infarction (NSTEMI). Which order should the nurse question before implementing?

The nurse teaches a patient with coronary artery disease about prescribed nitroglycerin therapy. Which patient statement indicates further teaching is needed?

What action would be most helpful to the nurse to determine if a patient's chest pain is cardiac in origin?

A nurse is preparing to administer the first 5 mg dose of metoprolol (Toprol) to a patient who is 12 hours post MI. For which assessment finding should the nurse withhold administration of the medication?