AM
NUR 301 CH 14: PATIENTS WITH CORONARY VASCULAR
DISORDERS EXAM ACTUAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A++ 2025/2026
Terms in this set (53)
Which of the following Monitor the site for bleeding or hematoma.
discharge instructions
for self-care should the Rationale: The nurse provides certain discharge
nurse provide to a instructions for self-care, such as monitoring
patient who has the site for bleeding or development of a
undergone a hard mass indicative of hematoma. A nurse
percutaneous does not advise the patient to clean the site
transluminal coronary with disinfectants or refrain from sexual
angioplasty (PTCA) activity for one month.
procedure?
The nurse is caring for Morphine sulfate
a patient who is
having chest pain Rationale: The patient with suspected MI should
associated with a immediately receive supplemental oxygen,
myocardial infarction aspirin, nitroglycerin, and morphine.
(MI). What medication Morphine is the drug of choice to reduce pain
should the nurse and anxiety. It also reduces preload and
administer afterload, decreasing the work of the heart.
intravenously to
reduce pain and
1/27
,8/17/25, 9:44
AM
anxiety?
Troponin
The patient has had
biomarkers drawn after Rationale: Troponin remains elevated for a long
complaining of chest period, often as long as 3 weeks, and it
pain. Which diagnostic therefore can be used to detect recent
of myocardial infarction myocardial damage. Myoglobin returns to
remains elevated for normal in 12 hours. Total CK returns to normal in
as long as 3 weeks? 3 days. CK-MB returns to normal in 3 to 4 days.
C-reactive protein (CRP)
Which diagnostic is a Rationale: C-reactive protein (CRP) is a marker
marker for for inflammation of vascular endothelium. LDL,
inflammation of vascular HDL, and triglycerides are not marker of
endothelium? vascular endothelium inflammation. They are
elements of fat metabolism.
2/27
, 8/17/25, 9:44
AM
A client with an acute "My chest pain is decreasing."
myocardial infarction is
receiving nitroglycerin Rationale: Nitroglycerin, a vasodilator,
by continuous I.V. increases the arterial supply of oxygen-rich
infusion. Which client blood to the myocardium. This action produces
statement indicates the drug's intended effect: relief of chest pain.
that this drug is Headache is an adverse effect of nitroglycerin.
producing its The drug shouldn't cause a tingling sensation
therapeutic effect? around the mouth and should lower, not raise,
blood pressure.
The nurse is part of a Relieved by rest and nitroglycerin
triage team that is
assessing a patient to Rationale: One characteristic that can
determine if his chest differentiate the pain of angina from a
pain is a manifestation myocardial infarction is pain that is relieved by
of angina pectoris or an rest and nitroglycerine. There may be some
MI. The nurse knows exceptions (unstable angina), but the distinction
that a primary is helpful especially when combined with
distinction is that the other assessment data.
pain of angina is:
A nurse is educating a Tobacco
community group use
about coronary artery Obesity
disease. One member Hyperlipide
asks about how to avoid mia
coronary artery disease. Rationale: Modifiable risk factors for coronary
Which of the following artery disease include hyperlipidemia, tobacco
items are considered use, hypertension, diabetes mellitus, metabolic
3/27