NU 126 Module 3 Exam Study Guide with Complete Solutions

NU 126 Module 3 Exam Study Guide with Complete Solutions Coronary Artery Disease - Ans:-blood vessel disorder leading to narrowing or obstruction of arterial lumen arthersclerosis - Ans:- Normal Cholesterol - Ans:-200 Normal Triglycerides - Ans:-150 Normal LDL - Ans:-100 Normal HDL - Ans:-40 M/ 50 F Which type of personality is more at risk for CAD? - Ans:-Type A Which circumstances place a patient at risk for cardiovascular disease? - Ans:-insulin resistance abdominal obesity dyslipidemia ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/36 HTN Prothrombic state - high fibrinogen levels Pro-inflammatory state- C reactive protein s/s of CAD - Ans:-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? - Ans:-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? - Ans:-instruct the patient to stop the exercise immediately ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/36 3 ways cigarettes contribute to CAD. - Ans:-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? - Ans:-LOWER triglycerides and LDL INCREASE HDL What effect do Resins or Bile Acid Sequestrants have on the body? - Ans:-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? - Ans:-decreases LDL only by inhibiting the intestinal absorption of cholesterol ex. zetia How do cardiovascular events differ in men and women? - Ans:-Women are usually more serious because they ignore and prolong seeking help ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/36 - 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 - Ans:-episodes of paroxysms of pain / pressure in the anterior chest. caused by insufficient coronary blood flow Unstable Angina is also known as ? - Ans:-Preinfarction or Crescendo What makes Unstable Angina so much more dangerous than stable? - Ans:-may not be relieved with rest or NTG Variant Angina - Ans:-pain at rest with reversible ST seg elevation --- thought to be caused by vasospasms Silent Ischemia - Ans:-evidence of ischemia on tests but no symptoms of pain ect. Will hot or cold temperatures cause an episode of angina? - Ans:-cold because it causes vasoconstriction In the gerontologic population, often the presenting symptom of Angina will be? - Ans:-DYSPNEA ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/36 What are some nursing considerations while working with Nitrates? - Ans:-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? - Ans:-Low saturated/cholesterol High fiber Which type of exercise should be avoided by patients with angina? - Ans:-Isometric What position do you want to place a patient who is suffering from angina? - Ans:-semi fowlers Hypertension - Ans:-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? - Ans:-Primary What may occur if a patient suddenly stops taking their anti-hypertensive medications ? - Ans:- rebound hypertension what different clinical manifestations of HTN will be seen in children? - Ans:-head rubbing head banging