Coronary Vascular Disorders
Showing posts with label Coronary Vascular Disorders. Show all posts
Showing posts with label Coronary Vascular Disorders. Show all posts

Post-cardiac surgery assessment of renal function should be performed hourly for the first 12 to 24 hours. Identify the laboratory result that the nurse knows is a primary indicator of possible renal failure.

Post-cardiac surgery assessment of renal function should be performed hourly for the first 12 to 24 hours. Identify the laboratory result that the nurse knows is a primary indicator of possible renal failure.


a) An hourly urine output of 50 to 70 mL

b) A urine specific gravity reading of 1.021

c) A serum BUN of 70 mg/dL

d) A serum creatinine of 1.0 mg/dL



Answer: A serum BUN of 70 mg/dL

A client has a blockage in the proximal portion of a coronary artery. After learning about treatment options, the client decides to undergo percutaneous transluminal coronary angioplasty (PTCA). During this procedure, the nurse expects to administer an:

A client has a blockage in the proximal portion of a coronary artery. After learning about treatment options, the client decides to undergo percutaneous transluminal coronary angioplasty (PTCA). During this procedure, the nurse expects to administer an:


a) antibiotic.

b) antihypertensive.

c) anticoagulant.

d) anticonvulsant.



Answer: anticoagulant.

The nurse plays an important role in monitoring and managing potential complications in the patient who has recently undergone a coronary artery bypass graft (CABG). The nurse should be alert to which of the following respiratory complications?

The nurse plays an important role in monitoring and managing potential complications in the patient who has recently undergone a coronary artery bypass graft (CABG). The nurse should be alert to which of the following respiratory complications?


a) Elevated blood glucose level

b) Hyperkalemia

c) Urinary tract infection (UTI)

d) Atelectasis



Answer: Atelectasis

A nurse is caring for a patient in the cardiovascular intensive care unit (CVICU) following a coronary artery bypass graft (CABG). Which of the following clinical findings requires immediate intervention by the nurse?

A nurse is caring for a patient in the cardiovascular intensive care unit (CVICU) following a coronary artery bypass graft (CABG). Which of the following clinical findings requires immediate intervention by the nurse?


a) CVP reading: 1 mmHg

b) Heart rate: 66 bpm

c) Blood pressure: 110/68 mmHg

d) Pain score: 5/10.



Answer: CVP reading: 1 mmHg

You are caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD?

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 characteristics of chest pain.

b) Assess the client's mental and emotional status.

c) Assess the skin of the client.

d) Assess for any kind of drug abuse.


Answer: Assess the characteristics of chest pain.

A client in the emergency department complains of squeezing substernal pain that radiates to the left shoulder and jaw. He also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?

A client in the emergency department complains of squeezing substernal pain that radiates to the left shoulder and jaw. He also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?


a) Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.

b) Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.

c) Complete the client's registration information, perform an electrocardiogram, gain I.V. access, and take vital signs.

d) Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the physician.



Answer: Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.

A female client returns for a follow-up visit to the cardiologist 4 days after a trip to the ED for sudden shortness of breath and abdominal pain. The nurse realizes the client had a myocardial infarction because the results from the blood work drawn in the hospital shows:

A female client returns for a follow-up visit to the cardiologist 4 days after a trip to the ED for sudden shortness of breath and abdominal pain. The nurse realizes the client had a myocardial infarction because the results from the blood work drawn in the hospital shows:


a) Elevated troponin levels

b) Decreased LDH levels

c) Decreased myoglobin levels

d) Increased C-reactive protein levels



Answer: Elevated troponin levels

The nurse is caring for a patient following a coronary artery bypass graft (CABG). The nurse notes persistent oozing of bloody drainage from various puncture sites. The nurse anticipates that the physician will order which of the following medications to neutralize the unfractionated heparin the patient received?

The nurse is caring for a patient following a coronary artery bypass graft (CABG). The nurse notes persistent oozing of bloody drainage from various puncture sites. The nurse anticipates that the physician will order which of the following medications to neutralize the unfractionated heparin the patient received?


a) Protamine sulfate

b) Aspirin

c) Alteplase (t-PA)

d) Clopidogrel (Plavix)



Answer: Protamine sulfate

After percutaneous transluminal coronary angioplasty (PTCA), the nurse suspects that a patient, who is on bed rest, may be experiencing the complication of bleeding. The nurse's initial action should be to do which of the following?

After percutaneous transluminal coronary angioplasty (PTCA), the nurse suspects that a patient, who is on bed rest, may be experiencing the complication of bleeding. The nurse's initial action should be to do which of the following?


a) Decrease anticoagulant or antiplatelet therapy.

b) Apply manual pressure at the site of the insertion of the sheath.

c) Review the results of the latest blood cell count, especially the hemoglobin and hematocrit.

d) Notify the health care provider.



Answer: Apply manual pressure at the site of the insertion of the sheath.

Postpericardiotomy syndrome may occur in patients who undergo cardiac surgery. The nurse should be alert to which of the following clinical manifestations associated with this syndrome?

Postpericardiotomy syndrome may occur in patients who undergo cardiac surgery. The nurse should be alert to which of the following clinical manifestations associated with this syndrome?


a) Pericardial friction rub

b) Hypothermia

c) Decreased white blood cell (WBC) count

d) Decreased erythrocyte sedimentation rate (ESR)



Answer: Pericardial friction rub

A client comes to the emergency department complaining of chest pain. An electrocardiogram (ECG) reveals myocardial ischemia and an anterior-wall myocardial infarction (MI). Which ECG characteristic does the nurse expect to see?

A client comes to the emergency department complaining of chest pain. An electrocardiogram (ECG) reveals myocardial ischemia and an anterior-wall myocardial infarction (MI). Which ECG characteristic does the nurse expect to see?



a) Widened QRS complex

b) Prolonged PR interval

c) Absent Q wave

d) Elevated ST segment



Answer: Elevated ST segment

A client was transferring a load of fire wood from his front driveway to his backyard woodpile at 10 a.m. when he experienced a heaviness in his chest and dyspnea. He stopped working and rested, and the pain subsided. At noon, the pain returned. At 1:30 p.m., his wife took him to the emergency department. Around 2 p.m., the emergency department physician diagnoses an anterior myocardial infarction (MI). The nurse should anticipate which orders by the physician?

A client was transferring a load of fire wood from his front driveway to his backyard woodpile at 10 a.m. when he experienced a heaviness in his chest and dyspnea. He stopped working and rested, and the pain subsided. At noon, the pain returned. At 1:30 p.m., his wife took him to the emergency department. Around 2 p.m., the emergency department physician diagnoses an anterior myocardial infarction (MI). The nurse should anticipate which orders by the physician?


a) Morphine administration, stress testing, and admission to the cardiac care unit

b) Streptokinase, aspirin, and morphine administration

c) Sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry

d) Serial liver enzyme testing, telemetry, and a lidocaine infusion



Answer: Sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry

A client asks the clinic nurse what the difference is between arteriosclerosis and atherosclerosis. What is the nurse's best response?

A client asks the clinic nurse what the difference is between arteriosclerosis and atherosclerosis. What is the nurse's best response?


a) Arteriosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we age.

b) Atherosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we age.

c) Arteriosclerosis is a formation of clots in the inner lining of the arteries.

d) Atherosclerosis is a formation of clots in the inner lining of the arteries.



Answer: Arteriosclerosis is a loss of elasticity, or hardening of the arteries, that happens as we age.

A 65-year-old male client with CAD has been prescribed a transdermal nitroglycerin patch. The nurse's instructions to the client would include which of the following?

A 65-year-old male client with CAD has been prescribed a transdermal nitroglycerin patch. The nurse's instructions to the client would include which of the following?



a) Cover the patch in plastic wrap after applying.

b) Seek emergency treatment if flushing or nausea occurs.

c) Remove the transdermal patch at night and reapply in the morning.

d) Store the patch in its original container when not in use.



Answer: 


• Remove the transdermal patch at night and reapply in the morning.

• Store the patch in its original container when not in use.

Subscribe to: Posts (Atom)