Exam 12: Cardiovascular Alterations

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

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

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

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

A patient presents to the ED complaining of severe substernal chest pressure radiating to his left shoulder and back that started about 12 hours ago.The patient delayed coming to the ED since he was hoping the pain would go away.The patient's 12-lead ECG shows ST-segment depression in the inferior leads.Troponin and CK-MB are both elevated.The hospital does not have the capability for percutaneous coronary intervention.Thrombolysis is one possible treatment.Based on these data,the nurse understands that?

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

The patient is admitted with recurrent supraventricular tachycardia that the cardiologist believes to be related to an accessory conduction pathway or a reentry pathway.The nurse anticipates which procedure to be planned for this patient?

A 72-year-old woman is brought to the ED by her family.The family states that she's "just not herself." Her respirations are slightly labored,and her heart monitor shows sinus tachycardia (rate 110 beats/min)with frequent premature ventricular contractions (PVCs).She denies any chest pain,jaw pain,back discomfort,or nausea.Her troponin levels are elevated,and her 12-lead electrocardiogram (ECG)shows elevated ST segments in leads II,III,and AVF.The nurse knows that these symptoms are most likely associated with which diagnosis?

Identify the priority interventions for managing symptoms of an acute myocardial infarction (AMI)in the ED.(Select all that apply).

The cardiologist has told the patient and family that the diagnosis is hypertrophic cardiomyopathy.Later they ask the nurse what the patient did wrong to cause this condition.The nurse explains:

Which comment by the patient indicates a good understanding of her diagnosis of coronary heart disease?

The patient is admitted with a suspected acute myocardial infarction (MI).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)?

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's wife is feeling overwhelmed and tells the nurse that she doesn't know if she can manage to cook different dinners for her husband and the rest of the family to satisfy his cholesterol-reducing diet.The nurse tells her:

A patient presents to the emergency department ( ED )with chest pain that he has had for the past 2 hours.He is nauseous and diaphoretic,and his skin is dusky in color.The electrocardiogram shows ST elevation in leads II,III,and aVF.Which therapeutic intervention would the nurse question?

A patient is admitted with the diagnosis of unstable angina.The nurse knows that the physiological mechanism present is most likely which of the following?

Which statements are true regarding the symptoms of an AMI? (Select all that apply.)