NU 126 Module 3 Test With
Complete Solution
Coronary Artery Disease - ANSWER blood vessel disorder leading to narrowing or
obstruction of arterial lumen
arthersclerosis - ANSWER
Normal Cholesterol - ANSWER <200
Normal Triglycerides - ANSWER <150
Normal LDL - ANSWER <100
Normal HDL - ANSWER >40 M/> 50 F
Which type of personality is more at risk for CAD? - ANSWER Type A
Which circumstances place a patient at risk for cardiovascular disease? - ANSWER
insulin resistance
abdominal obesity
dyslipidemia
HTN
Prothrombic state - high fibrinogen levels
Pro-inflammatory state- C reactive protein
s/s of CAD - ANSWER angina from ischemia
ischemia
MI
,Sudden cardiac death
heart failure
dysrhythmias
cardiac enzymes
How often should an adult be screened with a lipid profile for CAD? - ANSWER every
five years or less depending on their risk factors
If a patient complains of chest pain, shortness of breath, dizziness, or nausea upon
exercise what should the nurse do? - ANSWER instruct the patient to stop the
exercise immediately
3 ways cigarettes contribute to CAD. - ANSWER 1) increases carbon monoxide level,
less hemoglobin can carry o2
2) nicotinic acid triggers release of catecholamines which raise HR and BP- also
causes CA constriction
3)increases platelet adhesion and increases risk for thrombus formation
How do Statin effect the body? - ANSWER LOWER triglycerides and LDL
INCREASE HDL
What effect do Resins or Bile Acid Sequestrants have on the body? - ANSWER thye
lower LDL Minimal effect on triglycerides NO EFFECT ON HDL because all they do is
bind to cholesterol and break it down
What effects on cholesterol do cholestrol absorption inhibitors have? - ANSWER
decreases LDL only by inhibiting the intestinal absorption of cholesterol
ex. zetia
How do cardiovascular events differ in men and women? - ANSWER Women are
usually more serious because they ignore and prolong seeking help
,- pain in the arm, shoulder, neck, jaw, throat, back, under breast bone, or in the
stomach
Nausea, dizziness, unexplained anxiety, SOB, weakness, ***FATIGUE***, palpitations,
cold sweats, paleness
Angina Pectoris - ANSWER episodes of paroxysms of pain / pressure in the anterior
chest. caused by insufficient coronary blood flow
Unstable Angina is also known as ? - ANSWER Preinfarction or Crescendo
What makes Unstable Angina so much more dangerous than stable? - ANSWER may
not be relieved with rest or NTG
Variant Angina - ANSWER pain at rest with reversible ST seg elevation --- thought to
be caused by vasospasms
Silent Ischemia - ANSWER evidence of ischemia on tests but no symptoms of pain
ect.
Will hot or cold temperatures cause an episode of angina? - ANSWER cold because it
causes vasoconstriction
In the gerontologic population, often the presenting symptom of Angina will be? -
ANSWER DYSPNEA
What are some nursing considerations while working with Nitrates? - ANSWER use
gloves while administering.
bottle should be stored in a cool dry place , should not be exposed to heat/sunlight
Which type of diet would you recommend for a patient who has Angina? - ANSWER
Low saturated/cholesterol
High fiber
Which type of exercise should be avoided by patients with angina? - ANSWER
, Isometric
What position do you want to place a patient who is suffering from angina? -
ANSWER semi fowlers
Hypertension - ANSWER >140/90 based on avg of 2 or more BP's taken 1-4 weeks
apart BY A HEALTH CARE PROVIDERRRRRR
Which is more common- primary or secondary HTN? - ANSWER Primary
What may occur if a patient suddenly stops taking their anti-hypertensive
medications ? - ANSWER rebound hypertension
what different clinical manifestations of HTN will be seen in children? - ANSWER
head rubbing
head banging
waking up and crying in the middle of the night
dizziness
Whats required for the diagnosis of HTN in children? - ANSWER 3 High BP's
recorded by a health care provider
What medication is contraindicated for women to take if they are hypertensive? -
ANSWER birth control because it increases the risk of emboli
Which is worse - Hypertensive Emergency or Hypertensive Urgency? - ANSWER
Hypertensive Emergency
What BP is indicative of a Hypertensive Emergency? - ANSWER > 220/140 BP -
WITH evidence of target tissue damage. which can progress over hours or days
How are Hypertensive Emergencies treated? - ANSWER IV ANTI - HYPERTENSIVES
Hypertensive Emergency Interventions - ANSWER Elevate the bed
Complete Solution
Coronary Artery Disease - ANSWER blood vessel disorder leading to narrowing or
obstruction of arterial lumen
arthersclerosis - ANSWER
Normal Cholesterol - ANSWER <200
Normal Triglycerides - ANSWER <150
Normal LDL - ANSWER <100
Normal HDL - ANSWER >40 M/> 50 F
Which type of personality is more at risk for CAD? - ANSWER Type A
Which circumstances place a patient at risk for cardiovascular disease? - ANSWER
insulin resistance
abdominal obesity
dyslipidemia
HTN
Prothrombic state - high fibrinogen levels
Pro-inflammatory state- C reactive protein
s/s of CAD - ANSWER angina from ischemia
ischemia
MI
,Sudden cardiac death
heart failure
dysrhythmias
cardiac enzymes
How often should an adult be screened with a lipid profile for CAD? - ANSWER every
five years or less depending on their risk factors
If a patient complains of chest pain, shortness of breath, dizziness, or nausea upon
exercise what should the nurse do? - ANSWER instruct the patient to stop the
exercise immediately
3 ways cigarettes contribute to CAD. - ANSWER 1) increases carbon monoxide level,
less hemoglobin can carry o2
2) nicotinic acid triggers release of catecholamines which raise HR and BP- also
causes CA constriction
3)increases platelet adhesion and increases risk for thrombus formation
How do Statin effect the body? - ANSWER LOWER triglycerides and LDL
INCREASE HDL
What effect do Resins or Bile Acid Sequestrants have on the body? - ANSWER thye
lower LDL Minimal effect on triglycerides NO EFFECT ON HDL because all they do is
bind to cholesterol and break it down
What effects on cholesterol do cholestrol absorption inhibitors have? - ANSWER
decreases LDL only by inhibiting the intestinal absorption of cholesterol
ex. zetia
How do cardiovascular events differ in men and women? - ANSWER Women are
usually more serious because they ignore and prolong seeking help
,- pain in the arm, shoulder, neck, jaw, throat, back, under breast bone, or in the
stomach
Nausea, dizziness, unexplained anxiety, SOB, weakness, ***FATIGUE***, palpitations,
cold sweats, paleness
Angina Pectoris - ANSWER episodes of paroxysms of pain / pressure in the anterior
chest. caused by insufficient coronary blood flow
Unstable Angina is also known as ? - ANSWER Preinfarction or Crescendo
What makes Unstable Angina so much more dangerous than stable? - ANSWER may
not be relieved with rest or NTG
Variant Angina - ANSWER pain at rest with reversible ST seg elevation --- thought to
be caused by vasospasms
Silent Ischemia - ANSWER evidence of ischemia on tests but no symptoms of pain
ect.
Will hot or cold temperatures cause an episode of angina? - ANSWER cold because it
causes vasoconstriction
In the gerontologic population, often the presenting symptom of Angina will be? -
ANSWER DYSPNEA
What are some nursing considerations while working with Nitrates? - ANSWER use
gloves while administering.
bottle should be stored in a cool dry place , should not be exposed to heat/sunlight
Which type of diet would you recommend for a patient who has Angina? - ANSWER
Low saturated/cholesterol
High fiber
Which type of exercise should be avoided by patients with angina? - ANSWER
, Isometric
What position do you want to place a patient who is suffering from angina? -
ANSWER semi fowlers
Hypertension - ANSWER >140/90 based on avg of 2 or more BP's taken 1-4 weeks
apart BY A HEALTH CARE PROVIDERRRRRR
Which is more common- primary or secondary HTN? - ANSWER Primary
What may occur if a patient suddenly stops taking their anti-hypertensive
medications ? - ANSWER rebound hypertension
what different clinical manifestations of HTN will be seen in children? - ANSWER
head rubbing
head banging
waking up and crying in the middle of the night
dizziness
Whats required for the diagnosis of HTN in children? - ANSWER 3 High BP's
recorded by a health care provider
What medication is contraindicated for women to take if they are hypertensive? -
ANSWER birth control because it increases the risk of emboli
Which is worse - Hypertensive Emergency or Hypertensive Urgency? - ANSWER
Hypertensive Emergency
What BP is indicative of a Hypertensive Emergency? - ANSWER > 220/140 BP -
WITH evidence of target tissue damage. which can progress over hours or days
How are Hypertensive Emergencies treated? - ANSWER IV ANTI - HYPERTENSIVES
Hypertensive Emergency Interventions - ANSWER Elevate the bed
