Hinkle 23: CAD

Which method to induce hemostasis after sheath removal after percutaneous transluminal coronary angioplasty (PTCA) is most effective? Application of a vascular closure device such as Angio-Seal or VasoSeal Direct manual pressure Application of a pneumatic compression device (e.g., FemoStop) Application of a sandbag to the area

Application of a vascular closure device such as Angio-Seal or VasoSeal

A client is prescribed a nitroglycerin transdermal patch to treat angina. Which statement does the nurse include when reinforcing medication teaching to the client prior to discharge? "The medication patch causes headaches so you should remove it daily." "You do not need the effects of nitroglycerine while you sleep." "The patch should be worn for 12 hours and then removed for 12 hours." "Skin irritation is common when the patch is worn for more than 12 hours."

"the patch should be worn for 12 hours and then removed for 12 hours."

A client in the emergency department reports squeezing substernal pain that radiates to the left shoulder and jaw. The client also reports nausea, diaphoresis, and shortness of breath. What is the nurse's priority action? Complete the client's registration information, perform an electrocardiogram, gain I.V. access, and take vital signs. Administer oxygen, attach a cardiac monitor, and notify the health care provider. Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team. Administer oxygen, attach a cardiac monitor, take vital signs, and alert the cardiac catheterization team.

Administer oxygen, attach a cardiac monitor, take vital signs, and alert the cardiac catheterization team.

The nurse is providing education about the nutrient content of the Therapeutic Lifestyle Changes (TLC) diet to a community group. What information will the nurse provide? Select all that apply. Cholesterol should be less than 1 gram per day. Carbohydrates should make up 50% to 60% of the total calories. Dietary fiber should be 20 to 30 grams per day. Protein should make up approximately 15% of total calories. Total fat should make up only 5% of the total calories.

Carbohydrates should make up 50% to 60% of the total calories. Dietary fiber should be 20 to 30 grams per day. Protein should make up approximately 15% of total calories.

A patient has had cardiac surgery and is being monitored in the intensive care unit (ICU). What complication should the nurse monitor for that is associated with an alteration in preload? Cardiac tamponade Elevated central venous pressure Hypertension Hypothermia

Cardiac tamponade

A client with chest pain arrives in the emergency department and receives nitroglycerin, morphine, oxygen, and aspirin. The health care provider diagnoses acute coronary syndrome. When the client arrives on the unit, vital signs are stable and the client does not report any pain. In addition to the medications already given, which medication does the nurse expect the health care provider to order? Carvedilol Digoxin Furosemide Nitroprusside

Carvedilol

A client is admitted for treatment of Prinzmetal angina. When developing this client's care plan, the nurse should keep in mind that this type of angina is a result of what trigger? Activities that increase myocardial oxygen demand. An unpredictable amount of activity. Coronary artery spasm. The same type of activity that caused previous angina episodes.

Coronary artery spasm

A client diagnosed with a myocardial infarction (MI) is being moved to the rehabilitation unit for further therapy. Which statement reflects a long-term goal of rehabilitation for the client with an MI? Improvement in quality of life Limitation of the effects and progression of atherosclerosis Ability to return to work and a pre-illness functional capacity Prevention of another cardiac event

Improvement in quality of life

After 2-hour onset of acute chest pain, the client is brought to the emergency department for evaluation. Elevation of which diagnostic findings would the nurse identify as suggestive of an acute myocardial infarction at this time? Troponin I Myoglobin WBC (white blood cell) count C-reactive protein

Myoglobin

The nurse is working a cardiac care unit with a client on a diltiazem intravenous drip for atrial fibrillation. What are electrocardiogram (ECG) changes that suggest the client is responding to the treatment? Select all that apply. an absent P wave slowing heart rate T-wave inversion ST elevation decreasing R to R interval

Slowing heart rate decreasing R to R interval

The nurse is reevaluating a client 2 hours after a percutaneous transluminal coronary angioplasty (PTCA) procedure. Which assessment finding may indicate the client is experiencing a complication of the procedure? Urine output of 40 mL Potassium level of 4.0 mEq/L Heart rate of 100 bpm Dried blood at the puncture site

Urine output of 40 mL

A client who is resting quietly reports chest pain to the nurse. The cardiac monitor indicates the presence of reversible ST-segment elevation. What type of angina is the client experiencing? silent angina stable angina intractable angina variant angina

Variant angina

A client has had a 12-lead ECG completed as part of an annual physical examination. The nurse notes an abnormal Q wave on an otherwise unremarkable ECG. The nurse recognizes that this finding indicates an old MI. an evolving MI. variant angina. a cardiac dysrhythmia.

an old MI

A client with a myocardial infarction (MI) develops pulmonary crackles and dyspnea. A chest X-ray shows evidence of pulmonary edema. What type of MI did this client have? anterior. posterior. lateral. inferior.

anterior

A client was chopping firewood and experienced a heaviness in the chest and dyspnea. The client arrives in the emergency department four hours after the heaviness and the health care provider diagnoses an anterior myocardial infarction (MI). What orders will the nurse anticipate? streptokinase, aspirin, and morphine administration morphine administration, stress testing, and admission to the cardiac care unit serial liver enzyme testing, telemetry, and a lidocaine infusion sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry

sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry