Exam 36: Nursing Management Coronary Artery Disease and Acute Coronary Syndrome

The nurse is developing a health teaching plan for a 60-year-old man with the following risk factors for coronary artery disease (CAD). Which of the following risk factors should the nurse focus on when teaching the client?

A client with ST segment elevation in several electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as havingan ST-segment-elevation myocardial infarction (STEMI). Which of the following questions should the nurse ask to determine whether the client is a candidate for fibrinolytic therapy?

Four days after having a myocardial infarction (MI), a client who is scheduled for discharge asks for assistance with all the daily activities, saying, "I don't understand how to care for myself." Based on this information, which of the following nursing diagnoses is appropriate?

The nurse is admitting a client to the emergency department with severe chest pain and gives the following list of medications taken at home to the nurse. Which of the following medications has the most immediate implications for the client's care?

Three days after a myocardial infarction (MI), the client develops chest pain that increases when taking a deep breath and is relieved by leaning forward. Which of the following actions should the nurse take next?

The nurse is caring for a client with newly diagnosed Prinzmetal's (variant) angina and has a prescription for amlodipine. Which of the following information is accurate about amlodipine?

The nurse is caring for a client who has survived a sudden cardiac death (SCD) event and has no evidence of an acute myocardial infarction. Which of the following information should the nurse teach the client?

The nurse is caring for a client with angina who has been prescribed nadolol. Which of the following parameters should the nurse assess to determine whether the drug is effective?

Which of the following statements made by a client with coronary artery disease after the nurse has completed teaching about nutritional therapy for CAD indicates that further teaching is needed?

The nurse is administering a fibrinolytic agent to a client with an acute myocardial infarction. Which of the following assessments should cause the nurse to stop the drug infusion?

The nurse is caring for a client who is 3 days post myocardial infarction and the client 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 of the following responses should the nurse make?

The nurse is caring for a client who has recently started taking rosuvastatin and niacin who reports all of these symptoms to the nurse. Which of the following finding is most important to communicate to the health care provider?

The nurse is administering IV nitroglycerin to a client with a myocardial infarction (MI). Which of the following actions should the nurse take to evaluate the effectiveness of the medication?

Which of the following approaches to preventing a recurrence of sudden cardiac death is the most common?

The nurse is caring for a client who has had an acute myocardial infarction and the client asks the nurse about when sexual intercourse can be resumed. Which of the following responses by the nurse is best?

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

Which of the following information collected by the nurse who is admitting a client with chest pain suggests that the pain is caused by an acute myocardial infarction?

The nurse is admitting a client who has chest pain is to the emergency department and all the following diagnostic tests are prescribed. Which of the following tests should the nurse arrange to be completed first?

The nurse is providing teaching to a client about use of sublingual nitroglycerin. Which of the following client statements indicates that the teaching has been effective?

Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a client with chest pain?