QUIZ 6

Question 1

angina pectoris

Answer 1

The nurse will administer ordered calcium channel blockers, nitrates, and beta adrenergic blocking agents, and will apply supplemental O2 during exacerbations of pain r/t angina pectoris.

Question 2

unstable angina

Answer 2

The nurse will administer aspirin as ordered for the patient with unstable angina to reduce the recurrence of ischemic symptoms.

Question 3

stable angina

Answer 3

The nurse will educate the patient that stable angina is triggered by a predictable degree of exertion or emotions and that it will subside by taking away the precipitating factors and using sublingual nitroglycerin as prescribed.

Question 4

variant angina

Answer 4

The nurse will administer NTG as ordered and educate the patient with variant angina that episodes may last several minutes, are often associated with exercise, and can occur frequently at night.

Question 5

ischemia

Answer 5

The nurse will educate the pt that myocardial ischemia can be a result of atherosclerosis in the coronary arteries and will promote a low-fat diet and smoking cessation.

Question 6

MI

Answer 6

The nurse will administer morphine, oxygen, NTG, and aspirin as ordered for the patient with a suspected MI.

Question 7

CAD

Answer 7

The nurse will educate the pt that stress tests used to evaluate for CAD assess the heart’s response to an elevated heart rate brought on by treadmill walking or pharmacologic agents.

Question 8

arteriosclerosis

Answer 8

The nurse will educate the pt that arteriosclerosis which occurs with increasing age due to vessel stiffening can develop into atherosclerosis which increases the risk for heart disease.

Question 9

atherosclerosis

Answer 9

The nurse will educate the pt that regular exercise, smoking cessation, and limiting foods high in cholesterol can help prevent the development and progression of atherosclerosis.

Question 10

MONA

Answer 10

The nurse will administer the treatment protocol of morphine, O2, nitroglycerin, and aspirin as ordered for a pt with a suspected of MI.

Question 11

PCI

Answer 11

After the PCI procedure, the nurse assesses the ECG and evaluates the results for signs of abnormality.

Question 12

CK

Answer 12

The nurse will monitor CK levels over the course of 3-4 days after an MI to ensure they go back down into their normal range of 5-35 mcg/mL and cardiac ischemia and infarct has completely subsided.

Question 13

myoglobin

Answer 13

The nurse will evaluate myoglobin in conjunction with other cardiac diagnostic lab results because elevated myoglobin alone is not specific for cardiac damage, but for any muscular damage.

Question 14

troponin

Answer 14

The nurse will suspect the pt of having an MI after assessing elevated troponin levels, and will ensure the HCP is aware. The nurse will administer ordered medications, O2, and provide an ECG.

Question 15

aortic valve regurgitation

Answer 15

The nurse will assess for AVR by auscultating for the hallmark clinical manifestation of a diastolic murmur that is heard best at the second right intercostal space (aortic area) and radiating to the LSB

Question 16

aortic valve stenosis

Answer 16

The nurse educates the patient that aortic valve stenosis left untreated may lead to end-stage heart failure.

Question 17

mitral valve regurgitation

Answer 17

The nurse will monitor for pulmonary edema as an indication of acute MVR by watching for s/s of decreased SPO2, SOB, and pink frothy sputum

Question 18

mitral valve stenosis

Answer 18

The nurse will assess for a-fib and for clinical manifestations of right-sided HF in the pt with mitral valve stenosis.

Question 19

MVP

Answer 19

The nurse will assess for MVP by assessing the patient for anxiety, panic attacks, and feeling of impending doom.

Question 20

valvuloplasty

Answer 20

The nurse will educate the patient with mitral or aortic stenosis that valvuloplasty may be a treatment option for their valve disease to repair the valve leaflet rather than replace it.

Question 21

cardiac tamponade

Answer 21

The nurse will recognize Beck’s triad as indicative of cardiac tamponade notify the HCP immediately to institute diagnosis and treatment as soon as possible.

Question 22

IE

Answer 22

The nurse will initiate antibiotic therapy with drugs specific to the causative organism for IE following the blood culture and sensitivity reports.

Question 23

Beck’s triad

Answer 23

The nurse will recognize decreased BP, muffled heart sounds, and JVD as Beck’s triad, classic assessment findings for the patient with cardiac tamponade, and immediately notify HCP.

Question 24

dilated cardiomyopathy

Answer 24

The nurse will treat dilated cardiomyopathy like heart failure by administering inotropic drugs, diuretics, and antidysrhythmics as ordered.

Question 25

dilated cardiomyopathy

Answer 25

The nurse will continually monitor for changes in systemic perfusion by assessing mental status, heart rate and rhythm, peripheral perfusion, oxygenation, fluid status, and vital signs since DCM is a progressive disease,

Question 26

hypertrophic obstructive cardiomyopathy

Answer 26

The nurse will educate the patient with HCM about the importance of hydration and activity restrictions to prevent sudden cardiac death.

Question 27

ARVC

Answer 27

The nurse will provide emotional support and consult social work or other collaborative professionals as needed for the patient with ARVC who’s only treatment option is a heart transplant.

Question 28

RCM

Answer 28

The nurse will teach the pt to decrease activity level, conserve energy, and administer antiarrhythmics, calcium channel blockers, beta adrenergic blockers, and diuretics as ordered.