Chapter 27: Management of Patients With Coronary Vascular Disorders PREP U

The nurse is reviewing the laboratory results for a patient diagnosed with coronary artery disease (CAD). The patient's low-density lipoprotein (LDL) level is 115 mg/dL. The nurse interprets this value as which of the following? A. High B. Within normal limits C. Critically high D. Low A. High A nurse is caring for a patient who experienced an MI. The patient is ordered metoprolol (Lopressor). The nurse understands that the therapeutic effect of this medication is which of the following? A. Decreases cholesterol level B. Decreases resting heart rate C. Increases cardiac output D. Decreases platelet aggregation B. Decreases resting heart rate 00:31 01:46 A patient admitted to the coronary care unit (CCU) diagnosed with a STEMI is anxious and fearful. Which of the following medications will the nurse administer to relieve the patient's anxiety and decrease cardiac workload? A. Norvasc (amlodipine) B. IV morphine C. Tenormin (atenolol) D. IV nitroglycerin B. IV morphine A middle-aged male presents to the ED complaining of severe chest discomfort. Which of the following patient findings is most indicative of a possible MI? A. Intermittent nausea and emesis for 3 days B. Cool, clammy, diaphoretic, and pale appearance C. Anxiousness, restlessness, and lightheadedness D. Chest discomfort not relieved by rest or nitroglycerin D. Chest discomfort not relieved by rest or nitroglycerin A patient complains to the nurse about chest pain and palpitations during and after his morning jogs. The patient's family history reveals a history of coronary artery disease (CAD). What should the nurse recommend to minimize cardiac risk? A. Smoking cessation B. Mild meals C. Protein-rich diet D. Liquid diet A. Smoking cessation Heparin therapy is usually considered therapeutic when the patient's activated partial thromboplastin time (aPTT) is how many times normal? A. 0.5 to 1 B. 2.5 to 3 C. 0.25 to 0.75 D. 2 to 2.5 D. 2 to 2.5 When the postcardiac surgery patient demonstrates restlessness, nausea, weakness, and peaked T waves, the nurse reviews the patient's serum electrolytes anticipating which abnormality? A. Hypomagnesemia B. Hyperkalemia C. Hyponatremia D. Hypercalcemia B. Hyperkalemia Which of the following medications is an antidote to heparin? A. Aspirin B. Protamine sulfate C. Alteplase (t-PA) D. Clopidogrel (Plavix) B. Protamine sulfate Which diagnostic is a marker for inflammation of vascular endothelium? A. LDL B. HDL C. Triglyceride D. C-reactive protein (CRP) D. C-reactive protein (CRP) A 56-year-old male client with CAD kept his appointment to see a cardiologist for posthospitalization follow up. The client indicates that he thinks the diltiazem (Cardizem) has been making him nauseous. The nurse is aware that diltiazem (Cardizem) is categorized as which type of drug? A. Nitrates B. Calcium-channel blockers C. Diuretics D. Beta-adrenergic blockers B. Calcium-channel blockers During his annual physical exam, a 62-year-old male client reports experiencing chest pain and palpitations during and after his morning jogs. Family history reveals coronary artery disease. The nurse should instruct the client in the following to reduce the client's cardiac risk? A. Protein-rich diet B. Smoking cessation C. Exercise avoidance D. Antioxidant supplements B. Smoking cessation You are caring for a client at risk for thrombosis. What is an appropriate nursing action when evaluating this client? A. Examine for pain around the shoulder and neck region. B. Examine the legs for color, capillary refill time, and tissue integrity. C. Examine the extremities for skin lesions. D. Examine the client's mental and emotional status. B. Examine the legs for color, capillary refill time, and tissue integrity.