Cardiac Perfusion Exam Questions And Answers With Correct Solutions 2024

Cardiac Perfusion Exam Questions And Answers With Correct Solutions 2024 The nurse is teaching a client diagnosed with coronary artery disease about nitroglycerin. What is the cardiac premise behind administration of nitrates? More blood returns to the heart. It increases myocardial oxygen consumption. It functions as a vasoconstrictor. Preload is reduced. - correct answer.Preload is reduced. Nitroglycerin dilates primarily the veins, and in higher dosages, also the arteries. Dilation of the veins causes venous pooling of the blood throughout the body. As a result, less blood returns to the heart, and filling pressure (preload) is reduced. Nitroglycerine is administered to reduce myocardial oxygen consumption, thereby decreasing ischemia and relieving pain. A client presents to the ED reporting anxiety and chest pain after shoveling heavy snow that morning. The client says that nitroglycerin has not been taken for months but upon experiencing this chest pain did take three nitroglycerin tablets. Although the pain has lessened, the client states, "They did not work all that well." The client shows the nurse the nitroglycerin bottle; the prescription was filled 12 months ago. The nurse anticipates which order by the physician? Nitroglycerin SL Serum electrolytes Ativan 1 mg orally Chest x-ray - correct answer.Nitroglycerin SL Nitroglycerin is volatile and is inactivated by heat, moisture, air, light, and time. Nitroglycerin should be renewed every 6 months to ensure full potency. The client's tablets were expired, and the nurse should anticipate administering nitroglycerin to assess whether the chest pain subsides. The other choices may be ordered at a later time, but the priority is to relieve the client's chest pain. You are caring for a client with CAD. What is an appropriate nursing action when evaluating a client with coronary artery disease (CAD)? Assess the skin of the client. Assess the client's mental and emotional status. Assess the characteristics of chest pain. Assess for any kind of drug abuse. - correct answer.Assess the characteristics of chest pain. The nurse should assess the characteristics of chest pain for a client with CAD. Assessing the client's mental, emotional status, the skin of the client, or for drug abuse will not assist the nurse in evaluating the client for CAD. The nurse is educating the patient about administering nitroglycerin prior to discharge from the hospital. What information should the nurse include in the instructions? Take 2 nitroglycerines every 10 minutes until a total of 6 pills are taken. If pain is not relieved, activate the emergency medical system. Take a nitroglycerin and if the pain is not relieved, drive to the nearest emergency department. Take a nitroglycerin and repeat every 5 minutes if the pain is not relieved until a total of 3 are taken. If pain is not relieved, activate the emergency medical system. Take 2 nitroglycerines and if the pain is not relieved, go to the emergency department. - correct answer.Take a nitroglycerin and repeat every 5 minutes if the pain is not relieved until a total of 3 are taken. If pain is not relieved, activate the emergency medical system. The nurse should recommend that the patient note how long it takes for the nitroglycerin to relieve the discomfort. Advise the patient that if pain persists after taking three sublingual tablets at 5-minute intervals, emergency medical services should be called. Which of the following is inconsistent as a condition related to metabolic syndrome? Insulin resistance Dyslipidemia Hypotension Abdominal obesity - correct answer.Hypotension A diagnosis of metabolic syndrome includes three of the following conditions: insulin resistance, abdominal obesity, dyslipidemia, hypertension, proinflammatory state, and prothrombotic state. A client with a family history of coronary artery disease reports experiencing chest pain and palpitations during and after morning jogs. What would reduce the client's cardiac risk?