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 Classic angina Myocardial infarction Myocardial infarction A patient in the CCU has severe angina pectoris and is undergoing ECG assessment. The nurse knows that this patient had a previous myocardial infarction (MI) 10 years ago and that this old MI is likely to show up on the ECG. Which of the following would show that the patient had a previous MI but is not having one now? Abnormal Q waves accompanied by ST-segment elevation Abnormal Q waves accompanied by a normal ST segment Normal Q waves accompanied by a ST-segment elevation Normal Q waves accompanied by ST-segment depression Abnormal Q waves accompanied by a normal ST segment A patient is recovering in the CCU following a myocardial infarction 24 hours ago. She is now pain free and is beginning to eat solid foods. To prevent the Valsalva maneuver from occurring in this patient, what intervention should the nurse take? Administer fibrinolytic therapy Administer a stool softener Administer sublingual nitroglycerin Administer aspirin Administer a stool softener A patient in the CCU is recovering from a myocardial infarction. He complains of new chest pain and trouble breathing. The nurse observes that he has cool, moist skin and is breathing rapidly. On taking his pulse, she finds that it is rapid and thready. She takes his blood pressure and finds it to be 80/60 mm Hg. What complication is this patient most likely experiencing? Recurrent myocardial ischemia Ventricular septal wall rupture Cardiogenic shock Pericarditis Cardiogenic shock A patient is being discharged from the CCU following a myocardial infarction (MI). He will be participating in cardiac rehabilitation following discharge. His wife is wondering what she can do to help her husband during rehabilitation. What instructions should the nurse include in the discharge teaching plan? Select all that apply. Take cardiopulmonary resuscitation training Learn to interpret ECG readings Encourage her husband to stop smoking Exercise with her husband Prepare heart-healthy meals Perform a stress test on her husband monthly. Take cardiopulmonary resuscitation training Encourage her husband to stop smoking Exercise with her husband Prepare heart-healthy meals The nurse is teaching several patients how to reduce their risk for coronary artery disease or atherosclerosis. What risk factors should the nurse most emphasize? Serum cholesterol, high stress, and anger management Male gender, increased age, and hypertension Serum cholesterol, hypertension, and cigarette smoking Cigarette smoking, smokeless tobacco, and ethnicity Serum cholesterol, hypertension, and cigarette smoking The nurse is explaining the process of atherosclerosis to a patient and family. What information should the nurse include? This disease is purely genetic in nature and cannot be prevented The central process involves the formation of lipid-filled arterial plaques Alterations in lifestyle have no effect on the formation of plaques Anginal chest pain occurs when a coronary artery is 100% occluded The central process involves the formation of lipid-filled arterial plaques A patient has been diagnosed with unstable angina. Unstable angina may be described as what? Occurring with exercise Crescendo pattern Predictable pattern Relieved by rest Crescendo pattern The patient is complaining of midsternal chest pain that feels like constant severe pressure. The pain is not relieved by rest or three nitroglycerin tablets and is different than the pain the patient has had in the past. What is the priority nursing action? Administer another nitroglycerin tablet Obtain a 12-lead electrocardiogram Use anxiety reduction techniques Teach risk reduction strategies Obtain a 12-lead electrocardiogram The patient is experiencing severe chest pain after a stressful incident at work. On the 12-lead ECG, the nurse notices ST segment depression in the anterior leads that resolves as the patients pain resolves. What is the most appropriate nursing action? Send the patient home, since the symptoms have resolved Implement a risk reduction teaching plan Schedule the patient for immediate further di