Brunner and Suddarths Textbook of
Medical Surgical Nursing- Chapter 27
Management of Patients with
Coronary Vascular Disorders LATEST
VERIFIED VERSION OF {2026-2027}
EXAM With Expected real and
comprehensive Questions With Well
Elaborated Correct Answers
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Discussion Posts and Replies
,The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The nurse is
aware that plaque on the inner lumen of arteries is composed chiefly of what?
Lipids and fibrous tissue
White blood cells
Lipoproteins
Highdensity cholesterol - correct ans:Lipids and fibrous tissue****
White blood cells
Lipoproteins
Highdensity cholesterol
Feedback: As Tlymphocytes and monocytes infiltrate to ingest lipids on the arterial wall and then die, a
fibrous tissue develops. This causes plaques to form on the inner lumen of arterial walls. These plaques
do not consist of white cells, lipoproteins, or highdensity cholesterol.
A patient presents to the walkin clinic complaining of intermittent chest pain on exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most often
attributable to what cause?
Decreased cardiac output
Decreased cardiac contractility
Infarction of the myocardium
Coronary arteriosclerosis - correct ans:Decreased cardiac output
Decreased cardiac contractility
Infarction of the myocardium
Coronary arteriosclerosis****
Feedback: In most cases, angina pectoris is due to arteriosclerosis. The disease is not a result of impaired
cardiac output or contractility. Infarction may result from untreated angina, but it is not a cause of the
disease.
, The nurse is caring for an adult patient who had symptoms of unstable angina upon admission to the
hospital. What nursing diagnosis underlies the discomfort associated with angina?
Ineffective breathing pattern related to decreased cardiac output
Anxiety related to fear of death
Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
Impaired skin integrity related to CAD - correct ans:Ineffective breathing pattern related to decreased
cardiac output
Anxiety related to fear of death
Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)*****
Impaired skin integrity related to CAD
Feedback: Ineffective cardiopulmonary tissue perfusion directly results in the symptoms of discomfort
associated with angina. Anxiety and ineffective breathing may result from angina chest pain, but they
are not the causes. Skin integrity is not impaired by the effects of angina.
The triage nurse in the ED assesses a 66yearold male patient who presents to the ED with complaints of
midsternal chest pain that has lasted for the last 5 hours. If the patient's symptoms are due to an MI,
what will have happened to the myocardium?
It may have developed an increased area of infarction during the time without treatment.
It will probably not have more damage than if he came in immediately.
It may be responsive to restoration of the area of dead cells with proper treatment.
It has been irreparably damaged, so immediate treatment is no longer necessary. - correct ans:It may
have developed an increased area of infarction during the time without treatment. ***
It will probably not have more damage than if he came in immediately.
Medical Surgical Nursing- Chapter 27
Management of Patients with
Coronary Vascular Disorders LATEST
VERIFIED VERSION OF {2026-2027}
EXAM With Expected real and
comprehensive Questions With Well
Elaborated Correct Answers
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The nurse is
aware that plaque on the inner lumen of arteries is composed chiefly of what?
Lipids and fibrous tissue
White blood cells
Lipoproteins
Highdensity cholesterol - correct ans:Lipids and fibrous tissue****
White blood cells
Lipoproteins
Highdensity cholesterol
Feedback: As Tlymphocytes and monocytes infiltrate to ingest lipids on the arterial wall and then die, a
fibrous tissue develops. This causes plaques to form on the inner lumen of arterial walls. These plaques
do not consist of white cells, lipoproteins, or highdensity cholesterol.
A patient presents to the walkin clinic complaining of intermittent chest pain on exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most often
attributable to what cause?
Decreased cardiac output
Decreased cardiac contractility
Infarction of the myocardium
Coronary arteriosclerosis - correct ans:Decreased cardiac output
Decreased cardiac contractility
Infarction of the myocardium
Coronary arteriosclerosis****
Feedback: In most cases, angina pectoris is due to arteriosclerosis. The disease is not a result of impaired
cardiac output or contractility. Infarction may result from untreated angina, but it is not a cause of the
disease.
, The nurse is caring for an adult patient who had symptoms of unstable angina upon admission to the
hospital. What nursing diagnosis underlies the discomfort associated with angina?
Ineffective breathing pattern related to decreased cardiac output
Anxiety related to fear of death
Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
Impaired skin integrity related to CAD - correct ans:Ineffective breathing pattern related to decreased
cardiac output
Anxiety related to fear of death
Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)*****
Impaired skin integrity related to CAD
Feedback: Ineffective cardiopulmonary tissue perfusion directly results in the symptoms of discomfort
associated with angina. Anxiety and ineffective breathing may result from angina chest pain, but they
are not the causes. Skin integrity is not impaired by the effects of angina.
The triage nurse in the ED assesses a 66yearold male patient who presents to the ED with complaints of
midsternal chest pain that has lasted for the last 5 hours. If the patient's symptoms are due to an MI,
what will have happened to the myocardium?
It may have developed an increased area of infarction during the time without treatment.
It will probably not have more damage than if he came in immediately.
It may be responsive to restoration of the area of dead cells with proper treatment.
It has been irreparably damaged, so immediate treatment is no longer necessary. - correct ans:It may
have developed an increased area of infarction during the time without treatment. ***
It will probably not have more damage than if he came in immediately.
