Exam 48: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

What should a person with unstable angina avoid?

The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient says:

The nurse recognizes the echocardiogram report that shows an ejection factor of 42% as an indication of:

The patient with congestive heart failure who is on a diuretic drug shows a weight loss of 6.6 lb.The nurse is aware that the patient has lost ______ L of fluid.

A patient admitted to the emergency room with a possible myocardial infarction (MI)has reports back from the laboratory.Which laboratory report is specific for myocardial damage?

The patient has been hospitalized for hypertensive episodes three times in the last months.While preparing the discharge teaching plan,the nurse assesses that he does not comply with his medication regimen.The nurse's immediate course of action would be to:

The nurse is treating a patient who had a pacemaker inserted 8 years ago for the correction of atrial fibrillation.Which diagnostic test may no longer be available to the patient because of this older model implanted device?

The nurse takes into consideration that age-related changes can affect the peripheral circulation because of:

A patient,age 72,was admitted to the medical unit with a diagnosis of angina pectoris.Characteristic signs and symptoms of angina pectoris include:

What do dark or "cold" spots on a thallium scan indicate?

The elderly patient with angina pectoris says she is unsure how she should take nitroglycerin when she has an attack.The nurse's most helpful response would be:

The nurse notes a run of three ventricular contractions (PVC)that are not preceded by a P wave.This particular arrhythmia can progress into:

The home health nurse warns the patient who is taking warfarin (Coumadin)for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:

The nurse assessing a cardiac monitor notes that the cardiac complexes each have a P wave followed by a QRS and a T.The rate is 120.The nurse recognizes this arrhythmia as:

The cardiac marker ___________ rises 3 hours after a myocardial infarct and measures myocardial contractile protein.

The nurse assesses that the home health patient has no signs or symptoms of heart failure,but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.The nurse is aware that using the American College of Cardiology and the American Heart Association (ACC/AHA)staging,this patient would be a:

What is the patient goal of the walking exercise program designed for the rehabilitation of a post-MI patient?

A patient is admitted from the emergency department.The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)classification of IV.This indicates the patient's condition as:

What is the major cause of cardiac valve disease?

Which information should be taught to patients starting on anticoagulant therapy for a valvular disorder? (Select all that apply. )