EX1 CH33 MED SURG

The nurse provides education to a patient that receives a prescription for sublingual nitroglycerin for treatment of angina. Which statement made by the patient indicates the need for further teaching?

"After the bottle is open, the tablets lose potency and should be replaced every 12 months."

Which suggestion is most important for the nurse to provide to a patient with a waist circumference of 42 inches?

"Exercise regularly to maintain an ideal body weight."

A patient phones a health care provider's office and states, "I am having severe chest tightness that won't go away even when I lie down." In addition to contacting emergency responders, what instruction should the nurse provide to the patient?

"Take chewable aspirin. The total dose should be 325 mg."

A patient with acute coronary syndrome (ACS) receives a prescription for niacin to treat hyperlipidemia. The nurse observes another care provider giving information about the medication to the patient. The nurse should question which item that was included in the education?

"Take the drug on an empty stomach.

A patient tells the nurse, "I take nitroglycerin spray when I have pain in my chest, but I don't get any relief from the medication." What questions should the nurse ask the patient to determine a potential cause of the unrelieved pain? Select all that apply.

-"How much are you spraying when you take the drug?" -"Are you taking the drug through the nose or under your tongue?"

Which drugs may be prescribed for patients with chronic stable angina to help optimize myocardial perfusion? Select all that apply.

-Atenolol -Captopril -Nitroglycerin

The lipid profile of a patient is indicative of hyperlipidemia. A nurse advises the patient to consume a diet rich in nutrients that increase high-density lipoprotein (HDL) levels based on what rationale? Select all that apply.

-HDLs transport lipids to the liver for metabolism -HDLs prevent deposition of lipids in the blood vessels

The nurse recognizes that which medication(s) may relieve spasms associated with radial artery coronary artery bypass surgery? Select all that apply.

-Nicardipine -Verapamil

A patient is prescribed a statin drug to decrease levels of low-density lipoproteins and triglycerides. The nurse should teach the patient to observe for what symptoms? Select all that apply.

-Rash -Muscle pain -Muscle weakness -Gastrointestinal disturbances

The nurse is providing care to a patient with chronic stable angina that is scheduled for a cardiac catheterization. What finding associated with myocardial ischemia could be obtained by this diagnostic procedure?

70% block in right coronary artery

A patient that is being discharged from the hospital after acute coronary syndrome will be participating in cardiac rehabilitation. What information should the nurse provide about the early recovery phase of rehabilitation?

Activity level is increased gradually with supervision by the rehabilitation team and with ECG monitoring.

The nurse observes a student nurse who is providing thrombolytic therapy to a patient three hours after the patient's report of chest pain. Which action performed by the student nurse indicates the need for the nurse to intervene?

Reduces the dose of the thrombolytic agent during episodes of chest pain

The nurse notes that a patient's medication history includes clopidogrel. The nurse recognizes that this medication belongs to which drug class?

Antiplatelet

The nurse is caring for a patient 24 hours after the patient was diagnosed with ST segment elevation myocardial infarction (STEMI). The nurse should monitor the patient for what complication of myocardial infarction (MI)?

Cardiac dysrhythmias

The nurse reviews a patient's medical record and notes documentation of what condition that refers to arterial anastomoses or connections?

Collateral circulation

A patient takes atorvastatin to lower the patient's LDL level and to increase the HDL level. The patient reports a recent onset of muscle weakness and pain. The nurse identifies that what lab studies should be performed?

Creatine kinase isoenzymes

Which drug binds to antithrombin III, enhancing its effects?

Dalteparin

The nurse is providing teaching to a patient recovering from a myocardial infarction (MI). How should resumption of sexual activity be discussed?

Discussed along with other physical activities

The nurse is caring for a patient one month after the patient's cardiac surgery. The patient is hospitalized with a three-day history of chest pain, joint pain, and a body temperature of 101°F. The patient's lab results include a white blood cell count of 15,000/mcL and an erythrocyte sedimentation rate of 30 mm/hr. Which condition does the nurse suspect?

Dressler syndrome

During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest priority to monitoring the patient for what complication?

Dysrhythmias

Which drug reduces triglycerides by decreasing the hepatic synthesis and secretion of very-low-density lipoproteins (VLDL)?

Gemfibrozil

The nurse assesses a patient who has been administered the tissue-type plasminogen activator alteplase for an acute myocardial infarction. Which assessment finding is the highest priority and should be reported to the primary health care provider immediately?

Hematuria

A patient with angina is prescribed a calcium channel blocker. Upon reviewing the medication history, the nurse finds that the patient is on digoxin. The nurse should monitor the patient for which complication?

Increase in serum digoxin levels

The nurse reviews a patient's laboratory results and recognizes that which result is most indicative of myocardial infarction?

Increased creatine kinase-MB

The nurse recalls that which artery is most commonly used for bypass graft?

Internal mammary artery

A patient with Prinzmetal's angina who takes a short-acting nitrate reports feeling dizzy while changing positions. What prescription does the nurse anticipate?

Intravenous fluid bolus

A nurse is caring for a patient with a history of chronic stable angina that reports chest pain. What is a characteristic of pain related to this type of angina?

It will be relieved by rest, nitroglycerin, or both

The nurse is caring for a female patient that reports chest pain while performing daily activities. The patient's chest x-ray reveals that there is no significant coronary atherosclerosis. Which condition is indicated in the patient?

Microvascular angina

Cardiac biomarker levels are being evaluated for a patient who is suspected of having a myocardial infarction (MI). The nurse recognizes that which biomarker lacks specificity and that its role in diagnosing an MI is limited?

Myoglobin

The nurse recognizes indications of unstable angina if a patient experiences what symptoms?

Nausea, indigestion, and shortness of breath

A patient tells the nurse, "Recently, each time I run on a treadmill machine, I get chest pain. The pain, however, goes away when I rest." The nurse anticipates that the patient will receive a prescription for which medication that may be used before the patient exercises?

Nitroglycerin

The nurse reviews the medication profiles of four patients. The nurse should question a medication that is prescribed for which patient?

Patient D

A patient with ventricular dysfunction receives a prescription for an angiotensin-converting enzyme (ACE) inhibitor. The nurse should monitor the patient for what indication of intolerance of this type of medication?

Persistent cough

A patient with chronic stable angina is experiencing a prolonged QT interval on the electrocardiogram (ECG) monitor. The nurse reviews the list of drugs prescribed for the patient and should question which medication?

Ranolazine

A patient with diabetes shows no symptoms of angina but Holter monitoring reveals changes in electrocardiography (ECG). The nurse suspects what condition?

Silent ischemia

A male patient who has coronary artery disease (CAD) has serum lipid values of low-density lipoprotein (LDL) cholesterol 98 mg/dL, and high-density lipoprotein (HDL) cholesterol 47 mg/dL. What should the nurse include in the patient teaching?

The lipid levels are normal

A patient tells the nurse, "I had severe chest pain six days ago." The nurse identifies that which cardiac biomarker will be most helpful in determining whether the patient had a myocardial infarction at the time the patient experienced chest pain?

Troponin

Which statement by a patient diagnosed with stable angina indicates understanding of the disease process?

"Anginal pain is caused by an increased demand for oxygen or a decreased supply of oxygen."

Which statement made by the student nurse indicates effective learning about cardiovascular disease?

"Nicotine stimulates catecholamine release."

Drug-eluting stents (DES) are coated with which drugs? Select all that apply

-Paclitaxel -Everolimus

Which individuals would the nurse identify as having the highest risk for coronary artery disease (CAD)?

A 45-year-old depressed male with a high-stress job

Which drug breaks up the fibrin meshwork in clots?

Alteplase

Which drug prevents platelet aggregation by inhibiting cyclooxygenase?

Aspirin

The nurse provides a list of health-promoting regular physical activity examples to a patient with coronary artery disease (CAD). Which activity is appropriate to be included on the list?

Brisk walking (3 to 4 miles per hour)

When evaluating a patient's knowledge regarding a low-sodium, low-fat cardiac diet, the nurse recognizes additional teaching is needed when the patient selects which food item?

Canned chicken noodle soup

The nurse provides information to a patient about preventing coronary artery disease (CAD) by maintaining healthy serum low-density lipoproteins (LDL) and high-density lipoprotein (HDL) levels. The nurse should include what goals?

Decreased LDLs; increased HDLs

A patient experienced sudden cardiac death (SCD) while hospitalized and survived. The nurse expects that what preventive treatment will be prescribed?

Implantable cardioverter-defibrillator (ICD)

A patient with acute coronary syndrome (ACS) is scheduled for an off-pump coronary artery bypass (OPCAB) surgery. The nurse reviews the patient's history and notes the presence of multiple co-morbidities. The nurse identifies that the OPCAB procedure is used for this type of patient for what reason?

It is associated with less blood loss and less renal dysfunction

A patient who has received a maximum dose of nitroglycerin continues to report chest pain. What is the next medication that the nurse should administer to the patient?

Morphine sulfate

Upon taking a lipid-lowering medication for hyperlipidemia, a patient reports muscle pain. The nurse notes the patient has elevated liver enzymes and creatine kinase levels. It is most likely that the patient takes which lipid-lowering medication?

Simvastatin

A patient with chronic stable angina has received a prescription for sublingual (SL) nitroglycerin. The nurse tells the patient that orthostatic hypotension is a side effect of the drug. What should the nurse include in the patient's teaching about preventing complications associated with the side effect?

"Avoid sudden changes in position after taking nitroglycerin to prevent falls."

The nurse educates a patient with stable angina regarding the administration of nitroglycerin spray. Which statement made by the patient indicates effective learning?

"I should take the medication five minutes before beginning an activity that causes angina."

The nurse provides information to a patient about ways to decrease risk factors for coronary artery disease (CAD). Which statement by the patient indicates understanding of the teaching?

"I will change my lifestyle to alter patterns that add to my stress."

The nurse provides discharge teaching to a patient who is newly diagnosed with coronary artery disease (CAD). Which statement made by the patient indicates understanding of the dietary modifications that need to be implemented after discharge home?

"I will not eat bacon or any pork products."

A patient is recovering from an uncomplicated myocardial infarction (MI). Which instructions will the nurse include when discussing physical activity?

"Physical activity should be regular, rhythmic, and repetitive."

The nurse teaches a student nurse about diagnostic studies used for acute coronary syndrome. Which statement made by the student nurse indicates effective learning?

"Serum cardiac markers are proteins that are released from necrotic heart muscle."

The nurse provides care to a patient that undergoes intracoronary stent placement along with balloon angioplasty. Which drugs are used during the procedure to prevent platelet aggregation within the stent? Select all that apply.

-Bivalirudin -Eptifibatide

A patient receives morphine sulfate to relieve chest pain. The nurse should monitor this patient for which complications associated with the medication? Select all that apply.

-Bradypnea -Hypotension

Which drugs act by decreasing the contractility of the heart? Select all that apply.

-Diltiazem -Carvedilol

Which drugs act by causing vasodilation either directly or indirectly? Select all that apply.

-Losartan -Morphine

Which behaviors can help reduce psychologic risk factors that contribute to the development of coronary artery disease? Select all that apply.

-Setting realistic goals for exercise -Planning time for adequate rest and sleep

A nurse who is preparing a patient for cardiac catheterization should perform a baseline assessment of vital signs, pulse oximetry, and heart and lung sounds. What other vital assessment should the nurse include?

Allergies

The nurse is caring for a patient with a myocardial infarction. The health care provider prescribes an intravenous infusion of alteplase. What is the priority nursing intervention during the administration of this medication?

Assess neurologic status

The registered nurse observes a student nurse who is administers transdermal controlled-release nitroglycerin to a patient. Which action performed by the student nurse indicates the need for further teaching?

Changes the transdermal patch every 24 hours

Which drug is given along with aspirin to patients with unstable angina and NSTEMI?

Correct 1

A patient with stable angina takes a short-acting nitrate. The nurse recognizes that it is important to monitor the patient for what?

Decrease in blood pressure

A nurse teaches a patient about strategies to prevent angina caused by coronary artery disease. The nurse tells the patient that if a heavy meal is eaten, to rest for 1 to 2 hours after the meal. What is the rationale for this instruction?

Eating a heavy meal would divert more blood to the gastrointestinal system

Which drug causes vasodilation by preventing conversion of angiotensin I to angiotensin II?

Enalapril

Which is considered a nonmodifiable risk factor for coronary artery disease?

Family history of heart disease

The nurse recognizes that which type of myocardial infarction (MI) may occur due to blockage of the right coronary artery?

Inferior wall MI

A patient with coronary artery disease (CAD) is being seen in an outpatient health care setting for a routine examination. The patient states, "Over the past few months, I have needed increased amounts of insulin to control my type 1 diabetes mellitus." What is an appropriate goal for the nurse to place on the patient's plan of care, aimed at preventing the progression of CAD?

Maintain a Hb A1C level of less than 7%

A patient experiences mild chest pain during inspiration, while coughing, and while performing daily activities. Sitting in a forward position relieves the pain. The nurse identifies that the patient is experiencing what complication of myocardial infarction?

Pericarditis

Which is a characteristic of a complicated lesion?

Platelet aggregation and adhesion

A patient is scheduled for a coronary artery bypass graft (CABG) surgery. The nurse reviews the surgical plan and notes that the type of graft that will be used is prone to future stenosis and graft occlusion. Therefore the nurse anticipates postoperative use of antiplatelet and statin therapy to improve graft patency. Which type of graft will be used for the surgery?

Saphenous vein graft

The nurse is performing an assessment on a newly admitted patient who presented to the emergency department with reports of chest pain. Which assessment data would indicate that the patient has stable angina?

The pain developed when the patient was jogging and subsided after the patient rested

Which drug prevents the binding of fibrinogen to platelets, thereby preventing platelet aggregation?

Tirofiban

What is the reason behind prescribing low-molecular-weight heparin (LMWH) after a stent placement?

To prevent thrombosis formation within the stent

The nurse assesses an older patient for risk factors for coronary artery disease (CAD). What question should the nurse ask the patient?

What is your BMI number?

The community health nurse is planning health promotion teaching targeted at preventing coronary artery disease (CAD). Which population has the highest incidence of CAD?

White male

After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

"I can take up to five tablets every three minutes for relief of my chest pain."

In caring for the patient with angina the patient states, "I walked to the bathroom. While I was having a bowel movement, I started having the worst chest pain ever. It was similar to the pain I had at home. The pain went away rather quickly." What further assessment data should the nurse obtain from the patient?

"In what areas did you feel this pain?

Which drug may prevent or limit ventricular remodeling?

Captopril

The nurse assesses a patient with papillary muscle dysfunction. Which observation supports the patient's diagnosis?

Murmur at the cardiac apex

The nurse provides basic physical activity guidelines for a patient that is being discharged following acute coronary syndrome (ACS). The nurse recommends following the FITT formula, which includes which guidelines?

Physical activity that is regular, rhythmic, and repetitive

A patient experiences anginal pain. What is an appropriate nursing intervention?

Position the patient upright and supply oxygen

A patient asks the nurse about resuming sexual activity after acute coronary syndrome (ACS). What should the nurse include in the patient's teaching plan?

Taking a prophylactic nitrate may decrease chest pain during sexual activity

A patient is scheduled for drug-eluting stent (DES) placement after balloon angioplasty. The nurse recalls that the reason the DES is coated with paclitaxel is what?

To reduce the risk of overgrowth of the intimal lining within the stent

Which statement by an 84-year-old patient with coronary artery disease (CAD) indicates understanding of discharge teaching about physical activity?

"I will use longer rest periods between exercise sessions."

The nurse provides information about thrombolytic therapy to a group of student nurses. Which statement made by a student nurse indicates the need for further teaching?

"Significant facial trauma within the past 3 months is a relative contraindication."

A patient is admitted to the hospital with chronic stable angina. The nurse provides teaching about pain associated with the diagnosis. What information should the nurse include?

"The pain may last for a few minutes and stop when the precipitating factor is resolved."

For a health care research study, the nurse is identifying obese women at risk of developing coronary artery disease (CAD). What are the appropriate criteria for the selection of at-risk women? Select all that apply.

-"Apple"-shaped figure -Body mass index (BMI) greater than 30 kg/m 2

A 55-year-old patient with cardiovascular disease (CVD) receives a recommendation from the health care provider to take 81 mg of aspirin daily. The nurse reviews the patient's medical record and identifies which medication contraindications? Select all that apply.

-History of stroke -History of gastrointestinal bleeding

A nurse reviews a patient's medical history and identifies which findings as major modifiable risk factors? Select all that apply.

-Tobacco useTobacco use -BP 150/92 mm Hg -Waist circumference 42 inches

The nurse assesses a patient with diabetes who reports shortness of breath, neck pain, and hypoglycemic symptoms. The patient's blood pressure is 130/86 mm Hg, heart rate is 102 beats/minute, respiratory rate is 24 breaths/minute, and the fingerstick blood glucose is 136 mg/dL. The nurse recognizes that the patient is experiencing what?

Myocardial infarction

When planning emergent care for a patient with a suspected myocardial infarction (MI), what should the nurse anticipate administrating?

Oxygen, nitroglycerin, aspirin, and morphine

A patient that smokes reports chest pain while at rest. The nurse suspects that the patient is experiencing which condition?

Prinzmetal's angina

Which type of angina occurs as a result of coronary vasospasm?

Prinzmetal's angina

Which statement made by the student nurse indicates effective learning regarding the instructions to be given to a patient that receives a prescription for nitroglycerin?

"I should instruct the patient to report changes in the pattern of pain to the health care provider."

A patient presents to the emergency department (ED) with chest pain. Which question should the nurse ask first?

"Where is your pain located?"

What instruction should the nurse give to a patient to reduce the risk of coronary artery disease (CAD) by lowering LDL cholesterol? Select all that apply.

-"Increase complex carbohydrates such as fruit." -"Increase fiber intake by eating food such as legumes." -"Choose foods made with whole grains such as brown rice."

Which instructions should the nurse provide to a patient that takes nitroglycerin? Select all that apply.

-"Place the nitroglycerin tablet under the tongue." -"Change your position slowly after taking the medicine." -"Discard nitroglycerin tablets if they do not cause a tingling sensation."

A patient is admitted to the intensive care unit with a diagnosis of myocardial infarction. The patient is in stable condition. The nurse recognizes what common medications that are used to treat this condition? Select all that apply.

-Dual antiplatelet therapy -Intravenous (IV) nitroglycerin -Low molecular weight heparin (LMWH)

A patient reports heaviness and burning sensation in the substernal and retrosternal region. Assessment findings include a fasting blood glucose of 190 mg/dL and blood pressure of 145/90 mm Hg. The nurse recognizes that which other finding indicates sympathetic nervous system stimulation?

Ashen, clammy, and cool skin

The nurse is providing postoperative care to a patient that underwent coronary artery bypass graft (CABG) surgery. The nurse should monitor the patient for what common complication?

Atrial dysrhythmias

To reduce a patient's risk of coronary artery disease (CAD), the nurse recognizes that dietary teaching is needed when the patient's high density lipoprotein (HDL) and low-density lipoprotein (LDL) profile reveals what two abnormal results?

Decreased HDLs; increased LDLs

A patient recently diagnosed with coronary artery disease (CAD) asks the nurse: "What caused my problem?" The nurse responds that the CAD was most likely caused by what?

Fatty deposits on the walls of the coronary arteries

A nurse assesses a patient whose angiogram revealed an 80% blockage of the left circumflex artery and 70% blockage of the right coronary artery. The patient does not show any symptoms of coronary ischemia. What is the most likely reason for this finding?

Formation of collateral circulation

A patient survived an episode of sudden cardiac death (SCD) and is recovering in the intensive care unit (ICU). The nurse anticipates which intervention to prevent a recurrence?

Implantable cardioverter-defibrillator (ICD)

A patient with angina asks the nurse about the origin of the pain. The nurse explains that the pain is primarily caused by what condition?

Myocardial ischemia

A patient reports episodic chest pain lasting 10 minutes that is provoked by exertion and relieved upon resting. The nurse suspects that the cause of the patient's symptoms is what?

Myocardial ischemia due to coronary artery disease

After reviewing the medical records of four patients, the nurse identifies that which patient is at the highest risk of developing coronary artery disease (CAD)?

Patient D: 72-year-old African American female with a cholesterol level of 300 mg/dL

After reviewing the lipid profile reports of four patients, the nurse expect that which patient will receive a prescription for cholestyramine?

Patient with low-density lipoprotein (LDL) cholesterol of 190 mg/dL

The nurse is reviewing a plan of care for emergency treatment of a patient with chest pain. The nurse should question which item listed on the plan?

Provide the patient with instructions related to cough and deep breathing exercises.

A patient experiences prolonged chest pain that is not immediately reversible. The patient's health care provider explains that the cause of the pain is that a once-stable atherosclerotic plaque has ruptured, causing platelet aggregation and thrombus formation. The nurse recognizes this meets the definition of what diagnosis?

Acute coronary syndrome (ACS)

The nurse provides medication teaching to a patient who has been prescribed sublingual (SL) nitroglycerin (NTG) tablets. Which statement made by the patient indicates the need for further education?

"I can take as many tablets as needed until the pain goes away, each five minutes apart."

The nurse is teaching a patient with chronic stable angina about the use of nitroglycerin (NTG). Which statement made by the patient indicates effective learning?

"I should take a tablet 5 to 10 minutes before beginning an activity that is known to cause angina."

A nurse provides discharge teaching to a patient prescribed nitroglycerin sublingual tablets for the treatment of chronic stable angina. Which statement made by the patient indicates the need for further teaching?

"I will put the bottle in my front or back pant pockets before I leave the house."

When providing nutritional counseling for patients at risk for coronary artery disease (CAD), which dietary selections should the nurse encourage them to include in their meal-planning? Select all that apply.

-Tofu -Walnuts -Flaxseed

When advising an obese patient about ways to prevent coronary artery disease (CAD), the nurse suggests using tofu instead of chicken when making food dishes. Which reason led the nurse to make this suggestion? Select all that apply.

-Tofu is a good source of alpha-linolenic acid -Tofu increases omega-3 fatty acid levels in the body

The nurse teaches a student nurse about acute pericarditis. Which statement made by the student nurse indicates effective learning?

"The patient's chest pain can be relieved by sitting in the forward position."

Which statement made by the student nurse indicates effective learning about microvascular angina?

"This type of angina is more common in women and is triggered by activities of daily living."

What instruction should the nurse give to the patient who is predisposed to coronary artery disease (CAD)? Select all that apply.

-"Limit concentrated fruit juice." -"Choose foods such as buckwheat and oats."

What medication education should the nurse provide to a patient that receives a prescription for isosorbide mononitrate? Select all that apply.

-"Tolerance to this long-acting nitroglycerin can develop." -"Have your blood pressure measured after the initial dose." -"You may take acetaminophen along with the medication, to relieve headaches."

What are the events of pathogenesis of atherosclerosis in chronologic order?

-Accumulation of lipids into smooth muscle cells -Accumulation of lipids into smooth muscle cells -Proliferation of smooth muscles leading to thickening of arterial wall -Adhering of thrombus to the arterial wall leading to complete occlusion

The nurse is caring for a patient who survived sudden cardiac death (SCD) that was caused by a lethal ventricular dysrhythmia. The nurse anticipates that which tests will be prescribed to monitor the effectiveness of drug treatment? Select all that apply.

-Exercise stress testing -24-hour Holter monitoring -Signal-averaged electrocardiogram (ECG) -Electrophysiologic study (EPS) under fluoroscopy

What will the nurse include when educating an older adult patient about a physical activity program to reduce the risk for coronary artery disease? Select all that apply.

-Include longer warm-up periods -Plan indoor exercise on summer days

The nurse recalls that coronary revascularization with coronary artery bypass graft (CABG) surgery is recommended for which patients? Select all that apply.

-Patients who fail medical management -Patients with left main coronary artery or three-vessel disease -Patients who are not candidates for percutaneous coronary intervention (PCI) -Patients who have failed percutaneous coronary intervention (PCI) and continue to have chest pain

The nurse provides teaching to a patient recently diagnosed with coronary artery disease (CAD). Which information related to health promotion should the nurse include? Select all that apply.

-Reduce total fat intake -Increase complex carbohydrates in the diet -Perform moderate physical activity for at least 30 minutes a minimum of five days a week

A nurse provides teaching to a patient about smoking cessation to decrease the risk of coronary artery disease (CAD). Why does the nurse discourage cigarette smoking? Select all that apply.

-Tobacco smoke increases the low-density lipoprotein levels -Nicotine in tobacco smoke causes release of catecholamines -Carbon monoxide, found in tobacco smoke, affects the O2-carrying capacity of haemoglobin

Which drug acts by direct inhibition of the clotting factor thrombin?

Argatroban

What is an appropriate nursing intervention for a patient who smokes cigarettes and is predisposed to developing coronary artery disease?

Discuss medication to assist with smoking cessation

A patient that takes digoxin daily is being treated for hyperlipidemia. The nurse should question a prescription for what lipid-lowering drug that the patient is scheduled to take?

Cholestyramine

The rupture of plaque in the artery occurs in which stage of the pathogenesis of arterial disease?

Complicated lesion

A patient with angina takes a total of three nitroglycerin tablets, five minutes apart. The patient's chest pain is not relieved. What is the nurse's priority action?

Contact the emergency medical services (EMS).

The nurse is reviewing a patient's lipid profile results. Which level increases the patient's risk of coronary artery disease (CAD)?

Elevated low-density lipoproteins (LDL)

A patient is classified as having stage 2 hypertension on the basis of the blood pressure recorded. The nurse notes that the primary goal of therapy for the patient is to normalize the blood pressure. What should be the patient's target blood pressure?

Less than 120/80 mm Hg

Which type of angina occurs in the absence of significant coronary artery disease (CAD)?

Microvascular angina

The nurse provides a student nurse with information related to management of a patient following cardiac catheterization. The nurse should explain that which intervention is the specific responsibility of the nurse, rather than that of Unlicensed Assistive Personnel (UAP)?

Monitoring neurovascular changes

The nurse is preparing an initial care plan for a patient that presents with chest pain. What is the priority nursing intervention?

Monitoring the patient's ECG

The nurse is auscultating the heart sounds of a patient with a myocardial infarction (MI). A new murmur is heard at the cardiac apex. The nurse suspects which complication?

Papillary muscle dysfunction

The nurse is caring for four male patients in a health care facility. Which patient has the highest risk for developing coronary artery disease (CAD)?

Patient 3

Which factor leads to total occlusion of the coronary artery?

Thrombus formation in the coronary artery

A patient with hyperlipidemia has been prescribed niacin. The nurse administers aspirin 30 minutes before administering niacin for what reason?

To prevent flushing of skin

Which type of angina increases in frequency, duration, and severity as the time progresses?

Unstable angina

The nurse is caring for a patient with chronic stable angina that has a history of a stroke. Which prescription should the nurse question?

Vorapaxar

Which drug produces an anticoagulant effect by interfering with hepatic synthesis of vitamin K-dependent clotting factors?

Warfarin