Exam 33: Coronary Artery Disease and Acute Coronary Syndrome

The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain is caused by an acute myocardial infarction (AMI)?

After the nurse teaches the patient about the use of carvedilol (Coreg)in preventing anginal episodes,which statement by a patient 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

During the administration of the thrombolytic agent to a patient with an acute myocardial infarction,the nurse should stop the drug infusion if the patient experiences

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 about my heart to be alone while I get washed up." Based on this information,which nursing diagnosis is appropriate?

Which patient at the cardiovascular clinic requires the most immediate action by the nurse?

Which statement made by a patient with coronary artery disease after the nurse has completed teaching about the therapeutic lifestyle changes (TLC)diet indicates that further teaching is needed?

When titrating IV nitroglycerin for a patient with a myocardial infarction (MI),which action will the nurse take to evaluate the effectiveness of the drug?

Which nursing intervention is likely to be most effective when assisting the patient with coronary artery disease to make appropriate dietary changes?

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?

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

When caring for a patient who has just arrived on the telemetry unit after having cardiac catheterization,which nursing intervention should the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

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

A patient who has chest pain is admitted to the emergency department (ED),and all of the following are ordered. Which one should the nurse arrange to be completed first?

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?

When caring for a patient who is recovering from a sudden cardiac death (SCD)event and has no evidence of an acute myocardial infarction (AMI),the nurse will anticipate teaching the patient that

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

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?

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 best determine whether the patient has had an AMI?

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