Exam 15: Cardiovascular Disorders

The patient is on day 3 of hospitalization in the ICU.The 45-year-old patient was admitted with a diagnosis of acute MI.The patient complains of fatigue,not sleeping the past two nights,and change in appetite.The nurse is aware that these are symptoms of

A patient is admitted to the critical care unit with VS: BP 220/110,P 108,RR 24,T 103F,and O₂ sat 94% on oxygen 2L/NC.The patient is responsive and denies chest pain.The physician has ordered a workup for CAD.The nurse expects the admitting diagnosis to be which of the following?

Which of the following are mechanisms responsible for a myocardial infarction (MI)?

Dyspnea with wheezing,a nonproductive cough,and pulmonary crackles that progress to the gurgling sounds of pulmonary edema is described as

Which of the following values,when elevated,places the patient at lowest risk for CAD?

A 66-year-old patient is admitted to the critical care unit with a diagnosis of acute inferior MI.A 12-lead electrocardiogram (ECG)is done to validate the area of infarction.For the above patient,which leads on the ECG would correlate with an inferior wall MI?

Which of the following cholesterol values indicates a heightened risk for the development of CAD?

Which medication may be administered to the patient with hypertensive crisis?

Clinical manifestations of right-sided heart failure include

At what size is an aortic aneurysm evaluated for surgical repair or stent placement?

Patient teaching regarding valvular heart disease should include which of the following?

The most frequent dysrhythmia seen initially with sudden cardiac death is

The classic description of pain associated with aortic dissection is

Which classification of dysrhythmia is most common with an inferior wall infarction in the first hour after STEMI?

Data concerning coronary artery disease (CAD)and specific risk factors have demonstrated

A 66-year-old patient is admitted to the critical care unit with a diagnosis of acute inferior MI.A 12-lead electrocardiogram (ECG)is done to validate the area of infarction.Which finding on the ECG is most conclusive for infarction?

The nurse should anticipate which of the following as the most common complication after an MI?

Assessment of a patient with pericarditis may reveal which of the following signs and symptoms?

Three days after an anterior wall MI,a patient is in the critical care unit.The patient is receiving oxygen at 4 L/min by nasal cannula; nitroglycerin paste,1-inch q6h; and Lopressor 25 mg PO q12h.The monitor shows that the patient is beginning to have premature ventricular contractions (PVCs).Over the course of the next several hours,the PVCs increase in frequency to more than 15 per minute,with occasional runs of multifocal bigeminal PVCs.The patient's vital signs follow: heart rate,84 beats/min; sinus rhythm with described PVCs; blood pressure,124/68 mm Hg; respirations,20 breaths/min; and SpO₂,92%.Laboratory values are blood pH,7.44; potassium,4.4 mEq/L; and magnesium,1.0 mEq/L.Which of the following,if ordered,would be inappropriate for this patient?

Nursing management of the patient with angina is directed toward