Exam 12: Cardiovascular Alterations

A patient with coronary artery disease is having a cardiac evaluation to assess for possible valvular disease.Which study best identifies valvular function and measures the size of the cardiac chambers?

Acute myocardial infarction (AMI)can be classified as which of the following? (Select all that apply.)

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?

The patient presents to the ED with sudden severe sharp chest discomfort radiating to his back and down both arms,as well as numbness in his 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 an acute myocardial infarction (AMI).The nurse knows that an angiotensin-converting enzymes (ACE)inhibitor should be started within 24 hours to reduce the incidence of which process?

The patient has been in chronic heart failure for the past 10 years.He has been treated with beta-blockers and angiotensin-converting enzyme inhibitors as well as diuretics.His symptoms have recently worsened,and he presents to the ED with severe shortness of breath and crackles throughout his lung fields.His respirations are labored and arterial blood gases show that he is at risk for respiratory failure.Which of the following therapies may be used for acute,short-term management of the patient? (Select all that apply).

The nurse is assessing a patient with left-sided heart failure.Which symptom would the nurse expect to find?

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

The patient's wife is confused about the scheduling of a stent insertion.She says that she thought the angioplasty was surgery to fix her husband's heart problem.The nurse explains to her:

The patient presents to the ED with severe chest discomfort.He is taken for cardiac catheterization and angiography that shows 80% occlusion of the left main coronary artery.Which procedure will be most likely followed?

Which nursing interventions would be appropriate after angioplasty? (Select all that apply.)

An essential aspect of teaching that may prevent recurrence of heart failure is:

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?

Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

The physician orders a pharmacological stress test for a patient with activity intolerance.The nurse would anticipate that the drug of choice would be

The patient's wife asks the nurse if the angioplasty will remove all the buildup in the vessel walls so that the patient will be healthy again.The nurse explains:

The nurse is providing care to a patient on fibrinolytic therapy.Which statement from the patient warrants further assessment and intervention by the critical care nurse?

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

The patient is admitted with an acute myocardial infarction (AMI).Three days later the nurse is concerned that the patient may have a papillary muscle rupture.Which assessment data may indicate a papillary muscle rupture?

The patient's husband tells the nurse,"We didn't think she was having a heart attack because the pain was in her neck and back." The nurse explains: (Select all that apply.)