Chapter 25, Caring for Clients With Disorders of Coronary

1.You are caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD? A) Assess the client's mental and emotional status. B) Assess the skin of the client. C) Assess the characteristics of chest pain. D) Assess for any kind of drug abuse. Ans: C Feedback: The nurse should assess the characteristics of chest pain for a client with CAD. Assessing the client's mental and emotional status, skin, or for drug abuse will not assist the nurse in evaluating the client for CAD. The assessment should be aimed at evaluating for adequate blood flow to the heart. 2.The nurse is caring for a client with Raynaud's disease. What is an important instruction for a client who is diagnosed with this disease to prevent an attack? A) Report changes in the usual pattern of chest pain. B) Avoid situations that contribute to ischemic episodes. C) Avoid fatty foods and exercise. D) Take over-the-counter decongestants. Ans: B Feedback: Teaching for clients with Raynaud's disease and their family members is important. They need to understand what contributes to an attack. The nurse should instruct the clients to avoid situations that contribute to ischemic episodes. Reporting changes in the usual pattern of chest pain or avoiding fatty foods and exercise does not help the client to avoid an attack; it is more contributory for clients with CAD. In addition, the nurse advises clients to avoid over-the-counter decongestants. 3.You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client? A) Examine the client's mental and emotional status. B) Examine the legs for color, capillary refill time, and tissue integrity. C) Examine for pain around the shoulder and neck region. D) Examine the extremities for skin lesions. Ans: B Feedback: The nurse examines the e