Acute Coronary Syndrome Final Exam |100% Correct|

Acute Coronary Syndrome Final Exam |100% Correct| Which statement best describes acute coronary syndrome (ACS)? ACS is the progression of untreated ischemia. When ischemia is prolonged and not immediately reversible, ACS develops and encompasses the spectrum of unstable angina, non-ST-segment-elevation myocardial infarction, and ST-segment-elevation myocardial infarction. How does acute coronary syndrome cause injury to the heart? Platelets adhere to the plaque, occluding blood flow to the myocardium. A thrombus develops from platelets that adhere to the plaque, resulting in lack of blood flow to the myocardium distal to the blockage, which causes necrosis. What is a primary difference in the clinical manifestations of acute coronary syndrome between men and women? Fewer women than men manifest the "classic" signs and symptoms of unstable angina or myocardial infarction. Fewer women than men manifest the "classic" signs and symptoms of a cardiac event. Women are more likely to have nontypical symptoms (e.g., fatigue, shortness of breath, indigestion, anxiety). The nurse is caring for a patient who returns to the unit after percutaneous coronary intervention (PCI). Which intervention is a priority on the patient’s arrival on the unit? Monitor the ECG for heart rate and rhythm. Because PCI is used to open a blocked artery in patients with segment-elevation myocardial infarction, the priority nursing intervention is to assess the ECG for changes after the procedure. The emergency department receives a report from a paramedic who is transporting a patient with chest pain that is unrelieved by three sublingual nitroglycerin tablets. Which priority collaborative care intervention should be implemented on the patient’s arrival? Administration of morphine intravenously Administration of morphine will decrease pain. This is the priority intervention at this time. The surgeon has explained the coronary artery bypass graft (CABG) procedure to a patient. Afterward the patient asks the nurse why he "just can't get more stents." How can the nurse explain the difference between these procedures? Long-term benefits are expected to be better with CABG. Studies have shown improved patient outcomes, quality of life, and survival after CABG surgery if stent placement is not successful. On entering a patient’s room, the nurse sees the patient clutch his chest, and he states he is in pain. Which nursing interventions are priorities? Select all that apply. Have the patient rate the pain on a number scale. Asking the patient with chest pain to describe the severity of the pain using a number scale is a priority nursing intervention to help determine whether the pain is cardiac in origin. Determine when the pain started. Asking the patient with chest pain when the pain started is a priority nursing intervention to help determine whether the pain is cardiac in origin. Ask the patient to describe his pain. Asking the patient with chest pain to describe the quality of the pain is a priority nursing intervention to help determine whether the pain is cardiac in origin.