N461 Exam 2 Practice Questions and answers-graded 100%

Answers on the last pages after the questions Chapter 30 Nursing care of Patients with Coronary Heart Disease 1. The nurse, discussing coronary heart disease risk factors with a group of factory employees, would in ...

Answers on the last pages after the questions Chapter 30 Nursing care of Patients with Coronary Heart Disease 1. The nurse, discussing coronary heart disease risk factors with a group of factory employees, would include which option(s) as modifiable risk factors? Select all that apply. a. hypertension b. diabetes mellitus c. obesity d. age e. heredity 2. Which diagnostic test would the nurse anticipate as priority for a patient admitted with chest pain to determine coronary heart disease status? a. coronary angiography b. stress electrocardiography c. echocardiography d. radionuclide testing 3. Aspirin has been prescribed for a patient following a myocardial infarction. What should the nurse include in teaching about this drug? a. Check with your healthcare provider before taking any herbal remedies. b. Report any itching that develops after seven days of taking the drug. c. Take at a different time of day than warfarin (Coumadin). d. Do not skip any scheduled appointments to have blood drawn for labs. 4. The nurse is assessing a patient who is six hours postoperative from coronary artery bypass graft (CABG) surgery. The patient’s heart rate is 120, blood pressure is 90/50, urine output is decreased, chest tube output is decreased, heart sounds are muffled, and peripheral pulses are diminished. What action should be taken by the nurse first? a. Notify the physician immediately. b. Recheck vital signs in 15 minutes. c. Reposition the patient. d. Increase the intravenous fluids. 5. During an office visit, a 55-year-old female patient asks why she has not been prescribed a daily dose of aspirin. Her 56-year-old husband has been advised by the physician to take a daily aspirin. What can the nurse explain is the most likely reason for this? a. The benefit of aspirin in women under age 65 is not clear. b. Aspirin is not recommended for women. c. This must have been an oversight. d. She has other medications that could interfere 6. During a follow-up appointment after a myocardial infarction, a patient states, “My friends tell me to add more garlic to my diet and start drinking red wine each evening.” Which response by the nurse is best? a. “Discuss your idea with the physician to see what would benefit you.” b. “That sounds fine. See how they work.” c. “I wouldn’t do that if I were you.” d. “You should also add ginkgo biloba for cardiovascular health.” 7. During patient teaching about cardiac risk factors, the nurse knows that which laboratory test, if abnormal, requires further instruction due to the risk for the development of coronary artery disease? a. elevated homocysteine b. elevated creatinine c. elevated high density lipoprotein (HDL) d. elevated INR 8. The nurse, caring for a patient admitted with chest pain, realizes that which factor places the patient at the highest risk for heart disease? a. overweight and carries the weight around the waist b. mother died at age 70 of an acute myocardial infarction c. a single mother of four young children with a low income d. has a desk job and works long hours 9. The nurse, assessing a middle-aged patient experiencing chest pain, realizes that presence of which symptoms would be most characteristic of an acute myocardial infarction? a. substernal pressure type pain, radiating down the left arm b. colic-like epigastric pain c. sharp, well-localized unilateral chest and left arm pain d. sharp, burning chest pain moving from place to place 10. The nurse, caring for a patient diagnosed with Prinzmetal’s or variant angina, realizes this is a serious type of chest pain. Why is this so? a. It indicates presence of coronary artery spasm. b. It indicates there is associated renal disease. c. It indicates there is associated pulmonary disease. d. It indicates the presence of a myocardial infarction. 11. A patient enters the emergency department complaining of chest pain that is radiating down the left arm. The emergent treatment plan for this patient includes which nursing actions? Select all that apply. Select all that apply. a. morphine intravenously and oxygen b. aspirin 325 mg orally c. open heart surgery d. heparin drip at 100 units per hour e. Foley catheter insertion 12. Following a transmural myocardial infarction, which ECG change stays with the patient for life? CONTINUED..........