Nursing Theory [Cardiac Conditions] Questions With
Complete Solutions
What factors increase oxygen demand?
Anxiety, cocaine use, hypertension, hyperthermia,
hyperthyroidism, physical exertion.
What cardiac factors lead to decreased oxygen supply?
coronary artery spasm, coronary artery thromosis, Dysrythmias,
heart failure.
What cardiac factors lead to increased oxygen demand?
tachycardia, cardiomyopathy,
What is the location of pain during angina?
Midsternal radiating to left shoulder and down both arms.
Substernal radiating to neck and jaw as well as radiating down
left arm.
Epigastric radiating to neck jaw and arms
Intrascapular
How do we assess for chronic stable angina?
PQRST
Angina pain is relived with rest (T/F)
TRUE
What is the overall aim for nursing interventions with regard to
angina?
, always to increase oxygen demand, increasing oxygen supply or
doing both.
What is the priority intervention for someone with angina and
what interventions follow?
(1) PRIORITY: to rest
(2) Assessment of pain using PQRST to assess if the pain is the
same as angina or if the pain is something else.
(3) Vital signs
(4) Observe for respiratory distress, and provide O2 if needed
(5) Administer medication
(6) document event
What are the first line medical treatments for chronic stable
angina?
short-acting nitrates: sublingual - 3 doses 5 minutes apart (take
bp and p after each dose). It usually reduces pain in approx 3
minutes and duration is 30-60 minutes.
What are some examples of diagnostic interprofessional
management of chronic stable angina?
history and physical examination
ECG (12 lead)
Chest radiograph
Exercise stress tests
Echocardiogram
What are the outcomes that we want for patients with chronic
stable angina?
Complete Solutions
What factors increase oxygen demand?
Anxiety, cocaine use, hypertension, hyperthermia,
hyperthyroidism, physical exertion.
What cardiac factors lead to decreased oxygen supply?
coronary artery spasm, coronary artery thromosis, Dysrythmias,
heart failure.
What cardiac factors lead to increased oxygen demand?
tachycardia, cardiomyopathy,
What is the location of pain during angina?
Midsternal radiating to left shoulder and down both arms.
Substernal radiating to neck and jaw as well as radiating down
left arm.
Epigastric radiating to neck jaw and arms
Intrascapular
How do we assess for chronic stable angina?
PQRST
Angina pain is relived with rest (T/F)
TRUE
What is the overall aim for nursing interventions with regard to
angina?
, always to increase oxygen demand, increasing oxygen supply or
doing both.
What is the priority intervention for someone with angina and
what interventions follow?
(1) PRIORITY: to rest
(2) Assessment of pain using PQRST to assess if the pain is the
same as angina or if the pain is something else.
(3) Vital signs
(4) Observe for respiratory distress, and provide O2 if needed
(5) Administer medication
(6) document event
What are the first line medical treatments for chronic stable
angina?
short-acting nitrates: sublingual - 3 doses 5 minutes apart (take
bp and p after each dose). It usually reduces pain in approx 3
minutes and duration is 30-60 minutes.
What are some examples of diagnostic interprofessional
management of chronic stable angina?
history and physical examination
ECG (12 lead)
Chest radiograph
Exercise stress tests
Echocardiogram
What are the outcomes that we want for patients with chronic
stable angina?
