Exam 30: Nursing Management: 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

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

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

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?

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

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

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

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

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

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

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?

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

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

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 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?

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?

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?

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?

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

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