HESI PHARMACOLOGY CARDIOVASCULAR EXIT
EXAM 2024 ACTUAL EXAM COMPLETE 127
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+
Percutaneous Transluminal Coronary Angioplasty - ANSWER...A coronary artery
is dilated with a balloon catheter to open the vessel lumen and improve arterial
blood flow; the procedure may be performed in multiple arteries.
Complications include arterial dissection or rupture, immobilization of plaque
fragments, spasm, and acute myocardial infarction.
Angioplasty requires a firm commitment on the client's part to stop smoking, lose
weight, get more exercise, and stop other behaviors resulting in the progression of
artery occlusion.
Coronary Artery Stent - ANSWER...Placement of this device is performed to
reduce the risk of acute care vessel closure and to improve the long-term patency
.
A balloon catheter bearing the stent is inserted into the coronary artery and
positioned at the site of occlusion.
When placed in the coronary artery, the stent reopens the blocked artery.
,coronary artery stent - ANSWER...Acute thrombosis is a major concern after the
procedure, and antiplatelet and anticoagulation therapy are prescribed for several
months afterward.
Joy is admitted to the cardiac telemetry unit for monitoring and observation. The
health care provider prescribes an echocardiogram to be performed at the bedside,
and the nurse prepares Joy for the procedure. Into which position does the nurse
assist Joy? - ANSWER...Left side-lying
Joy's cardiac status has remained stable during hospitalization, and the health care
provider decides that she should undergo an exercise stress test. Which instructions
does the nurse give Joy while explaining the test? Select all that apply. -
ANSWER...joy will need to ask her fiancé to bring her a pair of supportive shoes
and loose- fitting clothing.
Joy can ask to have the test stopped for excess fatigue, shortness of breath, leg
cramps, or angina
Joy experiences chest pain that radiates to her jaw during the stress test, and the
test is stopped. She is given a sublingual nitroglycerin tablet, which relieves the
chest pain. Joy is transported back to her hospital room and monitored closely.
Joy's health care provider schedules cardiac catheterization, to be performed the
next day, and the nurse prepares her for the test. Which information does the nurse
give Joy? - ANSWER...he catheter insertion site will have to be shaved and be
antiseptically prepared.
,joy undergoes cardiac catheterization. The results indicate that her coronary
arteries are patent, and her health care provider determines that she can be
successfully treated with cardiac medications. Joy is transported to her hospital
room for postcatheterization care. Which interventions will the nurse plan to
implement in the immediate postcatheterization period? - ANSWER...Checking
Joy's pedal pulse in the affected extremity
Assessing postcatheterization vital signs per hospital policy
Calling the rapid-response team if dysrhythmias or chest pain occurs
Coronary Artery Disease - ANSWER...Narrowing or obstruction of one or more
coronary arteries results from atherosclerosis, an accumulation of lipid-containing
plaque in the arteries.
Symptoms occur when the coronary artery is occluded to point that blood supply to
the muscle becomes inadequate, causing ischemia.
Coronary artery disease (CAD) results in hypertension, angina, dysrhythmias,
myocardial infarction, heart failure, and death.
The goal of treatment (which includes a low-fat diet, regular exercise, and
medications such as cholesterol-decreasing medications) is to slow the
atherosclerotic progression.
Coronary Artery Disease diet - ANSWER...Teach the client to consume a low-
calorie, low-sodium, low-cholesterol, low-fat diet with an increased amount of
fiber.
, Coronary Artery Disease Surgical Procedures - ANSWER...Percutaneous
transluminal coronary angioplasty is performed to compress the plaque against the
walls of the occluded artery and dilate the vessel.
Laser angioplasty vaporizes the plaque.
In atherectomy, the plaque is removed from the artery.
A vascular stent may be placed to prevent the artery from closing and prevent
further stenosis.
Coronary artery bypass grafting is performed to improve blood flow to myocardial
tissue at risk for ischemia or infarction resulting from occlusion of the artery.
coronary artery disease medications - ANSWER...Nitrates are used to dilate the
coronary arteries.
Calcium channel blockers are prescribed to dilate the coronary arteries and reduce
vasospasm.
Cholesterol-decreasing medications slow the development of atherosclerotic
plaques.
Beta-blockers are prescribed to reduce blood pressure in hypertensive clients
Angina - ANSWER...Angina is chest pain resulting from myocardial ischemia
caused by inadequate myocardial blood and oxygen supply.
EXAM 2024 ACTUAL EXAM COMPLETE 127
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+
Percutaneous Transluminal Coronary Angioplasty - ANSWER...A coronary artery
is dilated with a balloon catheter to open the vessel lumen and improve arterial
blood flow; the procedure may be performed in multiple arteries.
Complications include arterial dissection or rupture, immobilization of plaque
fragments, spasm, and acute myocardial infarction.
Angioplasty requires a firm commitment on the client's part to stop smoking, lose
weight, get more exercise, and stop other behaviors resulting in the progression of
artery occlusion.
Coronary Artery Stent - ANSWER...Placement of this device is performed to
reduce the risk of acute care vessel closure and to improve the long-term patency
.
A balloon catheter bearing the stent is inserted into the coronary artery and
positioned at the site of occlusion.
When placed in the coronary artery, the stent reopens the blocked artery.
,coronary artery stent - ANSWER...Acute thrombosis is a major concern after the
procedure, and antiplatelet and anticoagulation therapy are prescribed for several
months afterward.
Joy is admitted to the cardiac telemetry unit for monitoring and observation. The
health care provider prescribes an echocardiogram to be performed at the bedside,
and the nurse prepares Joy for the procedure. Into which position does the nurse
assist Joy? - ANSWER...Left side-lying
Joy's cardiac status has remained stable during hospitalization, and the health care
provider decides that she should undergo an exercise stress test. Which instructions
does the nurse give Joy while explaining the test? Select all that apply. -
ANSWER...joy will need to ask her fiancé to bring her a pair of supportive shoes
and loose- fitting clothing.
Joy can ask to have the test stopped for excess fatigue, shortness of breath, leg
cramps, or angina
Joy experiences chest pain that radiates to her jaw during the stress test, and the
test is stopped. She is given a sublingual nitroglycerin tablet, which relieves the
chest pain. Joy is transported back to her hospital room and monitored closely.
Joy's health care provider schedules cardiac catheterization, to be performed the
next day, and the nurse prepares her for the test. Which information does the nurse
give Joy? - ANSWER...he catheter insertion site will have to be shaved and be
antiseptically prepared.
,joy undergoes cardiac catheterization. The results indicate that her coronary
arteries are patent, and her health care provider determines that she can be
successfully treated with cardiac medications. Joy is transported to her hospital
room for postcatheterization care. Which interventions will the nurse plan to
implement in the immediate postcatheterization period? - ANSWER...Checking
Joy's pedal pulse in the affected extremity
Assessing postcatheterization vital signs per hospital policy
Calling the rapid-response team if dysrhythmias or chest pain occurs
Coronary Artery Disease - ANSWER...Narrowing or obstruction of one or more
coronary arteries results from atherosclerosis, an accumulation of lipid-containing
plaque in the arteries.
Symptoms occur when the coronary artery is occluded to point that blood supply to
the muscle becomes inadequate, causing ischemia.
Coronary artery disease (CAD) results in hypertension, angina, dysrhythmias,
myocardial infarction, heart failure, and death.
The goal of treatment (which includes a low-fat diet, regular exercise, and
medications such as cholesterol-decreasing medications) is to slow the
atherosclerotic progression.
Coronary Artery Disease diet - ANSWER...Teach the client to consume a low-
calorie, low-sodium, low-cholesterol, low-fat diet with an increased amount of
fiber.
, Coronary Artery Disease Surgical Procedures - ANSWER...Percutaneous
transluminal coronary angioplasty is performed to compress the plaque against the
walls of the occluded artery and dilate the vessel.
Laser angioplasty vaporizes the plaque.
In atherectomy, the plaque is removed from the artery.
A vascular stent may be placed to prevent the artery from closing and prevent
further stenosis.
Coronary artery bypass grafting is performed to improve blood flow to myocardial
tissue at risk for ischemia or infarction resulting from occlusion of the artery.
coronary artery disease medications - ANSWER...Nitrates are used to dilate the
coronary arteries.
Calcium channel blockers are prescribed to dilate the coronary arteries and reduce
vasospasm.
Cholesterol-decreasing medications slow the development of atherosclerotic
plaques.
Beta-blockers are prescribed to reduce blood pressure in hypertensive clients
Angina - ANSWER...Angina is chest pain resulting from myocardial ischemia
caused by inadequate myocardial blood and oxygen supply.
