Exam 13: Cardiovascular Alterations

A patient has elevated blood lipids.The nurse anticipates which classification of drugs to be prescribed for the patient?

The patient has undergone open chest surgery for coronary artery bypass grafting.One of the nurse's responsibilities is to monitor the patient for which common postoperative dysrhythmia?

The patient presents to the ED with severe chest discomfort.A cardiac catheterization and angiography shows an 80% occlusion of the left main coronary artery.Which procedure will be most likely performed on this patient?

A patient is admitted to the emergency department with clinical indications of an acute myocardial infarction.Symptoms began 3 hours ago.The facility does not have the capability for percutaneous coronary intervention.Given this scenario,what is the priority intervention in the treatment and nursing management of this patient?

A patient with a 10-year history of heart failure presents to the emergency department reporting severe shortness of breath.Assessment reveals crackles throughout the lung fields and labored breathing.The patient takes beta blockers,ACE inhibitors,and diuretics as directed.What treatment strategies does the nurse plan to implement for immediate short-term management?

The patient presents to the ED with sudden,severe sharp chest discomfort,radiating to the back and down both arms,as well as numbness in the left arm.While taking the patient's vital signs,the nurse notices a 30-point discrepancy in systolic blood pressure between the right and left arm.Based on these findings,the nurse should:

A patient is admitted with angina.The nurse anticipates which drug regimen to be initiated?

A patient has been prescribed nitroglycerin (NTG)in the ED for chest pain.In taking the health history,the nurse will be sure to verify whether the patient has taken medications before admission for:

Percutaneous coronary intervention is contraindicated for patients with lesions in which coronary artery?

While instructing a patient on what occurs with a myocardial infarction,the nurse plans to explain which process?

A patient was admitted in terminal heart failure and is not eligible for transplant.The family wants everything possible done to maintain life.Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

A patient is admitted with an acute myocardial infarction (AMI).The nurse monitors for which potential complications?

Which clinical manifestations are indicative of right ventricular failure?

Which of the following cardiac diagnostic tests would include monitoring the gag reflex before giving the patient anything to eat or drink?

A patient is admitted with an acute myocardial infarction (AMI).The nurse knows that an angiotensin-converting enzyme (ACE)inhibitor should be started within 24 hours to reduce the incidence of which process?

The patient is admitted with a suspected acute myocardial infarction (AMI).In assessing the 12-lead electrocardiogram (ECG)changes,which findings would indicate to the nurse that the patient is in the process of an evolving Q wave myocardial infarction (MI)?

A patient is having an emergent coronary intervention,and the nurse is starting an infusion of abciximab.The patient asks what the purpose of this drug is.What response by the nurse is best?