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Week 9 CON 246
Week 9 Chronic Stable Angina
| Question | Answer |
|---|---|
| Chronic stable angina is related to which disease process or condition? | Atherosclerosis - Chronic stable angina is a clinical manifestation of coronary artery disease (CAD), which is included in the general category of atherosclerosis. It is the primary cause of chronic stable angina. |
| Where do patients usually state that the pain of chronic stable angina is located? | Middle of the chest - |
| Which pathophysiological process explains the cause for ischemic chest pain resulting from chronic stable angina? | Lactic acid buildup from anaerobic metabolism - Hypoxic myocardial cells switch from aerobic to anaerobic metabolism following hypoxia, resulting in lactic acid accumulation and irritation of the myocardial nerve fibers. |
| Identify which patient with chronic stable angina would benefit most from an angiotensin-converting enzyme (ACE) inhibitor. | A patient with diabetes who smokes half a pack of cigarettes per day |
| A patient with a history of chronic stable angina is scheduled for a cardiac catheterization to evaluate complaints of increasing chest pain. Which statement by the patient warrants immediate notification of the primary health care provider? | “I have had dark brown urine the past few days.” |
| A patient with chronic stable angina is scheduled for a cardiac catheterization. Which nursing intervention is a priority before the procedure? | Ask about any medication allergies. It is important to know whether the patient has any allergies, especially to intravenous contrast media, as this can cause complications with the cardiac catheterization procedure. |
| Mr. Patterson expresses concern about his health because both of his parents had heart problems. Which heart health-promoting behaviors should the nurse recommend to Mr. Patterson based on his health and history? | Quit smoking - Begin an exercise regimen. -Take all prescribed medications. |
| Which teaching provided by the nurse would assist Mr. Patterson in reducing the frequency of angina episodes? | “Take blood pressure medication even if you feel better.” |
| A patient with type 2 diabetes and hypertension has chronic stable angina. The nurse educates the patient on the importance of understanding which point about his or her diet? | Processed and restaurant food should be avoided. - Sodium comes mostly from processed and restaurant food, not the salt shaker. Adults should read food labels and make sure they don’t consume more than 2 mg of sodium each day. |
| Which event occurs when myocardial oxygen demand exceeds oxygen supply? | Lactic acid is formed and irritates myocardial nerve fibers. |
| Chronic stable angina is manifested by which common signs and symptoms? | Predictable onset - Pain lasting 10 minutes - Decreasing discomfort with rest |
| Which factors increase myocardial oxygen demand? | Anemia - Heart rate - Cocaine use - Deep vein thrombosis - Increased body temperature |
| Which finding would cause the nurse to alert the health care provider before a patient undergoes percutaneous coronary angiography?The nurse is caring for several patients with a history of chronic stable angina. After receiving the previous shift’s repor | The patient has a preexisting renal condition. |
| The nurse is caring for several patients with a history of chronic stable angina. After receiving the previous shift’s report, which patient should the nurse assess first? | Patient returning from cardiac catheterization |
| A 67-year-old man with chronic stable angina is taking sublingual nitroglycerin. Which symptom would help the nurse assess the effectiveness of this medication? | Decreased blood pressure |
| The nurse is assessing a female patient who presents with complaints of fatigue and increasing episodes of angina. Which questions should the nurse include in the assessment? | “When was your last menstrual period?” |
| A patient with diabetes is trying to reduce risk factors for chronic stable angina. Which is the best action for the nurse to recommend? | Gradually increase physical activity. |
| A patient has had type 2 diabetes for the last 22 years and is beginning to have episodes of chronic stable angina. Which statements by the nurse are appropriate for patient education? | “Your physician may order an exercise stress test.” - Diabetes increases the risk for chronic stable angina.” - |
| “You will need to have an electrocardiogram (ECG) to determine your current cardiovascular status.” |
Created by:
Brandi Sizemore
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