Exam 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

A patient admitted to the coronary care unit (CCU)with an ST-segment-elevation myocardial infarction (STEMI)is restless and anxious.The blood pressure is 86/40 and heart rate is 123.Based on this information,which nursing diagnosis is a priority for the patient?

A patient with ST-segment elevation in three contiguous electrocardiographic (ECG)leads is admitted to the emergency department (ED)and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI).Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?

When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG)surgery using the internal mammary artery,the nurse determines that additional teaching is needed when the patient says which of the following?

The nurse is caring for a patient who was admitted to the coronary care unit following an acute myocardial infarction (AMI)and percutaneous coronary intervention the previous day.Teaching for this patient would include

After receiving change-of-shift report about the following four patients,which patient should the nurse assess first?

When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement,the nurse obtains the following assessment data.Which data indicate the need for immediate action by the nurse?

In preparation for discharge,the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates.Which patient statement indicates that the teaching has been effective?

Following an acute myocardial infarction (AMI),a patient ambulates in the hospital hallway.When the nurse is evaluating the patient's response to the activity,which assessment data would indicate that the exercise level should be decreased?

A patient with diabetes mellitus and chronic stable angina has a new order for captopril (Capoten).The nurse should teach the patient that the primary purpose of captopril is to

Heparin is ordered for a patient with a non-ST-segment-elevation myocardial infarction (NSTEMI).What is the purpose of the heparin?

After the nurse has finished teaching a patient about the use of sublingual nitroglycerin (Nitrostat),which patient statement indicates that the teaching has been effective?

Diltiazem (Cardizem)is ordered for a patient with newly diagnosed Prinzmetal's (variant)angina.When teaching the patient,the nurse will include the information that diltiazem will

A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI).Which laboratory test should the nurse monitor to help determine whether the patient has had an AMI?

Which electrocardiographic (ECG)change is most important for the nurse to report to the health care provider when caring for a patient with chest pain?

Three days after experiencing a myocardial infarction (MI),a patient who is scheduled for discharge asks for assistance with hygiene activities,saying,"I am too nervous to take care of myself." Based on this information,which nursing diagnosis is appropriate?

The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation myocardial infarction (STEMI)2 days previously.Which information is most important to report to the health care provider?

A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of medications to the nurse.Which medication has the most immediate implications for the patient's care?

A few days after experiencing a myocardial infarction (MI)and successful percutaneous coronary intervention,the patient states,"I just had a little chest pain.As soon as I get out of here,I'm going for my vacation as planned." Which reply would be most appropriate for the nurse to make?

After reviewing information shown in the accompanying figure from the medical records of a 43-year-old,which risk factor modification for coronary artery disease should the nurse include in patient teaching?

A patient who has recently started taking pravastatin (Pravachol)and niacin (Nicobid)reports the following symptoms to the nurse.Which is most important to communicate to the health care provider?