Exam 38: Care of Patients with Acute Coronary Syndromes

A client is on a dopamine infusion via a peripheral line.What action by the nurse takes priority for safety?

A nurse is in charge of the coronary intensive care unit.Which client should the nurse see first?

The nurse is caring for a client with a chest tube after a coronary artery bypass graft.The drainage slows significantly.What action by the nurse is most important?

A client has presented to the emergency department with an acute myocardial infarction (MI).What action by the nurse is best to meet The Joint Commission's Core Measures outcomes?

A client in the cardiac stepdown unit reports severe,crushing chest pain accompanied by nausea and vomiting.What action by the nurse takes priority?

An older adult is on cardiac monitoring after a myocardial infarction.The client shows frequent dysrhythmias.What action by the nurse is most appropriate?

The nurse is preparing to change a client's sternal dressing.What action by the nurse is most important?

A nurse is assessing a client who had a myocardial infarction.Upon auscultating heart sounds,the nurse hears the following sound.What action by the nurse is most appropriate? (Click the media button to hear the audio clip.)

A nursing student is caring for a client who had a myocardial infarction.The student is confused because the client states nothing is wrong and yet listens attentively while the student provides education on lifestyle changes and healthy menu choices.What response by the faculty member is best?

A client is in the hospital after suffering a myocardial infarction and has bathroom privileges.The nurse assists the client to the bathroom and notes the client's O₂ saturation to be 95%,pulse 88 beats/min,and respiratory rate 16 breaths/min after returning to bed.What action by the nurse is best?

A client undergoing hemodynamic monitoring after a myocardial infarction has a right atrial pressure of 0.5 mm Hg.What action by the nurse is most appropriate?

A client presents to the emergency department with an acute myocardial infarction (MI)at 1500 (3:00 PM).The facility has 24-hour catheterization laboratory abilities.To meet The Joint Commission's Core Measures set,by what time should the client have a percutaneous coronary intervention performed?

A client with coronary artery disease (CAD)asks the nurse about taking fish oil supplements.What response by the nurse is best?

A client is in the preoperative holding area prior to an emergency coronary artery bypass graft (CABG).The client is yelling at family members and tells the doctor to "just get this over with" when asked to sign the consent form.What action by the nurse is best?

A client is in the clinic a month after having a myocardial infarction.The client reports sleeping well since moving into the guest bedroom.What response by the nurse is best?

A home health care nurse is visiting an older client who lives alone after being discharged from the hospital after a coronary artery bypass graft.What finding in the home most causes the nurse to consider additional referrals?

A nurse is caring for four clients.Which client should the nurse assess first?

A client is receiving an infusion of tissue plasminogen activator (t-PA).The nurse assesses the client to be disoriented to person,place,and time.What action by the nurse is best?

A nursing student studying acute coronary syndromes learns that the pain of a myocardial infarction (MI)differs from stable angina in what ways? (Select all that apply.)

The provider requests the nurse start an infusion of an inotropic agent on a client.How does the nurse explain the action of these drugs to the client and spouse?