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

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

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

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

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

A patient with ST segment elevation in several 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 fibrinolytic therapy?

After the nurse teaches the patient about the use of atenolol (Tenormin) in preventing anginal episodes, which statement by a patient indicates that the teaching has been effective?

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

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 110. Based on this information, which nursing diagnosis is a priority for the patient?

Which assessment finding by the nurse who is caring for a patient who has had coronary artery bypass grafting using a right radial artery graft is most important to communicate to the physician?

Which information collected by the nurse who is admitting a patient with chest pain suggests that the pain is caused by an acute myocardial infarction (AMI)?

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

Which of these nursing interventions included in the plan of care for a patient who had an acute myocardial infarction (AMI) 3 days ago is most appropriate for the RN to delegate to an experienced LPN/LVN?

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

Which of these statements 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?

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

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

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

Nadolol ( Corgard ) is prescribed for a patient with angina. To determine whether the drug is effective, the nurse will monitor for