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CASE STUDY - MedSurge - CAD

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CASE STUDY - MedSurge - CAD

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CASE STUDY - MedSurge - CAD - Elvis
Which information in Kristin's history increases her risk for coronary artery disease? -
answer -family history of hyperlipidemia
-frequent consumption of a high fat diet
-smoking two packs of cigarettes per day

Which nursing intervention should the nurse consider when assisting Kristin in achieving
her goal to quit smoking? - answer identify 4 feelings associated with smoking

What is the best response by the nurse to Kristin's statement? - answer "Do you feel
that you do not need to be involved in your health care?"

What information should the nurse indicate in the teaching plan? - answer an HDL of
less than 50 mg/dL for women indicates increased risk

Which instructions should the nurse include in Kristin's teaching plan related to the use
of antihyperlipidemic? - answer report any side effects

Which ongoing lab test should Kristin anticipate during treatment with
antihyperlipidemic? - answer liver enzymes

Which instruction should the nurse include when teaching Kristin about the use of
sublingual nitroglycerin? - answer Place tablet under tongue every 5 minutes until the
pain is relieved, up to 3 tablets

The nurse should prepare Kristin for which adverse effect that can occur when starting a
daily dose of transdermal nitroglycerin? - answer dizziness

Which instructions should the nurse provide Kristin prior to the test? - answer it is
important to return to the exam table immediately after excercising

Which nursing intervention should be implemented first? - answer IV access and
administer Morphine Sulfate prescribed by HPC.

Which intervention should be implemented first? - answer Inform the ED physician of
Kyra's recent surgery.

What is a primary goal of this medication? - answer Perfuse cardiac tissue by dilating
coronary arteries.

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