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Ch. 11 Winland-Brown Cardiovascular Problems 4th ed.

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A client presents with substernal chest pain that is provoked by exertion and relieved by rest and nitroglycerin. What do you suspect? A. Stable angina B. Unstable angina C. Acute coronary syndrome (ACS) D. Simple overexertion (Ch. 11 Winland-Brown) - A A newly discharged outpatient surgery client presents with insidious onset of edema and dusky blue discoloration of the head and upper extremities. You know it is a medical emergency and suspect which of the following? A. Evolving cerebral infarction B. Impending myocardial infarction C. Superior vena cava syndrome D. Temporal arteritis (Ch. 11 Winland-Brown) - C An active 68 year old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes in, you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to A. defer any further dental work until his valve replacement is completed. B. instruct the client to have dental extraction done cautiously, having no ore than two teeth per visit removed. C. suggest that he consult with his oral surgeon about removing all the teeth at once and receiving appropriate antibiotic prophylaxis. D. coordinate with his cardiac and oral surgeons to have the tooth extraction and valve replacement done at the same time to reduce the risk of anesthetic complications. (Ch. 11 Winland-Brown) - C An anterior wall myocardial infarction most likely occurs from occlusion of the A. left circumflex artery. B. left main artery. C. right coronary artery. D. left anterior descending artery. (Ch. 11 Winland-Brown) - D Before counseling partners about sexual activity following a myocardial infarction, the provider should consider what factor (s)?

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