Chapter 33 Flashcards
When developing a teaching plan for a 61-yr-old pt with multiple risk factors for CAD, the nurse should focus primarily on the:
A. family history of CAD
B. elevated LDL level
C. increased risk associated with the pt’s gender
D. increased risk of cardiovascular disease as people age
B. elevated LDL level
Because family history, gender, and age are no modifiable risk factors, the nurse should focus on the pt’s LDL level. Decreases in LDL will help reduce the pt’s risk of developing CAD
Which nursing intervention is likely to be most effective when assisting the pt with CAD to make appropriate dietary changes?
A. Inform the pt about the diet containing no saturated fat and minimal salt
B. Help the pt modify favorite high-fat recipes by using mono saturated oils
C. Emphasize the increases risk for heart problems unless the pt makes the dietary changes
D. Give the pt a list of low-sodium, low-cholesterol foods that should be included in the diet
B. Help the pt modify favorite high0fat recipes by using mono saturated oils
The nurse is admitting a pt who has chest pain. Which assessment data suggest that the pain is caused by an acute myocardial infarction (AMI)?
A. The pain increases with deep breathing
B. The pain has lasted longer than 30 mins
C. The pain is relieved after the pt takes nitorglycerin
D. The pain is reproducible when the pt revises the arms
B. The pain lasted longer than 30 mins
**Chest pain that lasts for 20 mins or more is a characteristic of AMI. Changes in pain that occur with raising the arms or with deep breathing are more typical of musculoskeletal pain or pericarditis. Stable angina is usually relieved when the patient takes nitroglycerin
Which information from the pt helps the nurse confirm the previous dx of chronic stable angina?
A. The pain wakes me up at night
B. The pain level is 3 to 5
C. The pain has gotten worse over the last week
D. The pain goes away after a nitroglycerin tablet
D. The pain goes away after a nitroglycerin tablet
After the nurse has finished teaching a pt about the use of sublingual nitroglycerin (Nitrostat), which pt statement indicates that the teaching has been effective?
A. I can expect nausea as a side effect of nitroglycerin
B. I should only take nitroglycerin when I have chest pain
C. Nitroglycerin helps to prevent a clot from forming and blocking blood flow to my heart
D. I will call an ambulance if I still have pain after taking 3 nitroglycerin 5 mins apart
D. I will call an ambulance if I still have pain after taking 3 nitroglycerin 5 mins apart
Which statement made by a patient with CAD after the nurse has completed teaching about TLC diet indicated that further teaching is needing?
A. I will switch from whole milk to 1 %
B. I like salmon and I will plan to eat it more often
C. I can have a glass of wine with dinner if I want one
D. I will miss being able to eat peanut butter sandwiches
D. I will miss being able to eat peanut butter sandwiches
After the nurse teaches the pt about the use of carvedilol (Coreg) in preventing angina episodes, which statement by a pt indicates that the teaching has been effective?
A. Carvedilol will help my heart muscle work harder
B. It is important not to suddenly stop taking carvedilol
C. I can expect to feel short of breath when taking carvedilol
D. Carvedilol will increase the blood flow to my heart muscle
B. It is important not to suddenly stop taking carvedilol
A pt who has had chest pain for several hours is admitted with a dx of rule out acute MI. Which lab test should the nurse monitor to best determine whether the pt has had a AMI?
A. Myoglobin
B. Homocysteine
C. C-reactive protein
D. Cardiac-specific troponin
D. Cardiac-specific troponin
