Exam 15: Alterations in Myocardial Tissue Perfusion

The nurse has completed teaching regarding cardiac risk factor reduction.Which patient statement would best indicate an understanding of the instructions?

The nurse is performing a cardiovascular assessment.Which patient findings would indicate significant risk factors for the development of atherosclerosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A female patient presents to the emergency department with complaint of chest pain.Which findings would raise the nurse's suspicion that the chest pain is of cardiac origin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient,admitted with chest pain,has a baseline cTnT level of 1.1 mcg/L.Which explanation would the nurse provide the patient for redrawing this level in 6 hours?

A patient tells the nurse that he smokes two packs of cigarettes per day,works 10-hour workdays most days of the week,eats out twice a day when working,and has no time to exercise.The nurse analyzes this data and suggests interventions to address which patient problem?

A patient is diagnosed with atherosclerosis.How would the nurse explain the area injured by this inflammatory disorder?

Which assessment finding would indicate to the nurse that the patient has an altered blood supply to the right coronary artery affecting the posterior wall of the myocardium?

A patient is diagnosed with Prinzmetal angina.Which assessment findings would the nurse attribute to this diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is providing medication education for a patient who has been prescribed atorvastatin (Lipitor).Which information should be included?

A lipid panel has been drawn on a patient who has a family history of atherosclerosis.The nurse would explain that which value on the panel is most implicated in development of atherosclerosis?

A patient tells the nurse that he had chest pain into his left arm while moving a heavy trash can that lasted for about 10 seconds and stopped when he put the trash can down.This information would be included in which aspects of the PQRST assessment for chest pain? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with diabetes is surprised to learn that he has been having angina when the only problem he has been experiencing is a "bit of fatigue and shortness of breath." How should the nurse explain this to the patient?

The nurse is assessing a patient whose body mass index is 23 kg/m².The nurse would suggest which lifestyle goal for this patient?

A patient tells the nurse that she has been experiencing a "pain in the chest" for the last 3 hours.What does this information suggest to the nurse?

A patient has presented for a scheduled exercise stress test.Which patient comments should the nurse communicate immediately to the healthcare provider performing the test? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with acute coronary syndrome has received thrombolytic therapy.The nurse would monitor and report which findings that indicate this therapy was successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The patient requires close monitoring during the first 24 hours after receiving thrombolytic therapy.What is the priority nursing intervention?

A patient's is admitted with complaint of chest pain.The electrocardiogram (ECG)reveals ST segment elevation.What is the nurse's priority intervention?

A patient is admitted with chest pain of approximately 2 hours in duration.The CK level was 8 U/L.Which additional order should the nurse expect in order for assessment of this patient to be adequate?

At the conclusion of a stress echocardiogram it was determined that the patient has dyskinesis.The nurse would reinforce which explanation of this finding?