Final Exam - Module 5-7 Exam, Quiz, ATI, Test Bank

Final Exam - Module 5-7 Exam, Quiz, ATI, Test Bank The patient is scheduled to undergo a percutaneous cardiac intervention (PCI). What patient history would the nurse least expect to find? Poor left ventricular function and ejection fraction Coronary artery lesions less than 70% narrowing Extreme old age with fragility Unstable angina with activity and at rest Coronary artery lesions less than 70% narrowing A female patient has just undergone a percutaneous coronary intervention (PCI). What symptom, if found by the nurse, requires immediate intervention? Three premature ventricular complexes Frank bleeding from the femoral insertion site Serum potassium level 4.8 mEq/L Hemoglobin 11.7 g/dL Frank bleeding from the femoral insertion site The patient has undergone a percutaneous coronary intervention (PCI) for relief of coronary stenosis secondary to arteriosclerotic heart disease. During discharge teaching, what patient statement most indicates the need for reteaching? This procedure means that my heart disease is cured I should continue to take my antilipidemic If I have any chest pain, I will call my doctor I will start a walking program after my doctor agrees This procedure means that my heart disease is cured A patient has been found to be at high risk for cardiovascular disease after a highly sensitive C-reactive protein (hs-CRP) blood test indicated a value of 3.0 mg/dL. The patient would like to know what this test measures. What would be the best answer for the nurse to give? Systemic inflammation related to atherosclerosis Cardiac output following myocardial infarction Blood pressure related to congestive heart failure Lipid levels in connection with stress response Systemic inflammation related to atherosclerosis A patient newly diagnosed with atherosclerosis wants to know what the plaque building up in his arteries actually consists of. Which of the following should the nurse mention? Select all that apply. Fatty substances Osteocytes Epithelial tissue Cholesterol Cellular waste products Collagen and elastic fibers Fatty substances Cholesterol Cellular waste products Collagen and elastic fibers A patient with atherosclerosis acknowledges that he is a smoker but does not understand how this contributes to his atherosclerosis. Which response would be best for the nurse to give him? Smoking causes stress, which increases his lipid levels Smoking triggers in him a craving for high-cholesterol foods Smoking injures the inner layer of his arteries, facilitating plaque buildup Smoking causes vasoconstriction Smoking injures the inner layer of his arteries, facilitating plaque buildup A young patient who seems perfectly healthy is displaying symptoms of angina pectoris. Which of the following are possible underlying causes of the patients condition? Select all that apply. Atherosclerotic narrowing of the coronary arteries Hemophilia Use of aspirin Spasm of a coronary artery Arterial inflammation Tachycardia Atherosclerotic narrowing of the coronary arteries Spasm of a coronary artery Arterial inflammation Tachycardia A patient in the CCU complains of pain and a squeezing sensation in his chest. He says that it typically affects him in the middle of the night, waking him from sleep. The nurse recognizes that this patient is most likely experiencing which of the following? Stable angina Unstable angina Classic angina Variant angina Variant angina A 78-year-old woman in the CCU complains of shortness of breath, along with prolonged chest pain unrelieved by rest or sublingual nitroglycerin. The nurse recognizes that this patient is most likely experiencing which condition? Stable angina pectoris Atherosclerosis