Exam 33: Coronary Artery Disease and Acute Coronary Syndrome

Nadolol (Corgard)is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective,the nurse will monitor for

A patient had a non-ST-segment-elevation myocardial infarction (NSTEMI)3 days ago. Which nursing intervention included in the plan of care is appropriate for the registered nurse (RN)to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

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 mm Hg,and heart rate is 132 beats/min. Based on this information,which nursing diagnosis is a priority for the patient?

After reviewing a patient's history,vital signs,physical assessment,and laboratory data,which information shown in the accompanying figure is most important for the nurse to communicate to the health care provider?

A few days after experiencing a myocardial infarction (MI)and successful percutaneous coronary intervention,the patient states,"It was just 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?

When developing a teaching plan for a 61-yr-old patient with multiple risk factors for coronary artery disease (CAD),the nurse should focus primarily on the

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

A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is appropriate when scheduling this medication?

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

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?

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

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?

The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor)if the

When admitting a patient with a non-ST-segment-elevation myocardial infarction (NSTEMI)to the intensive care unit,which action should the nurse perform first?

Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?

Which information about a patient who has been receiving thrombolytic therapy for an acute myocardial infarction is most important for the nurse to communicate to the health care provider?

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?

To improve the physical activity level for a mildly obese 71-yr-old patient,which action should the nurse plan to take?

A patient who is recovering from an acute myocardial infarction (AMI)asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best?

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