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concept of nursing 1
Chronic Stable Angina
| Question | Answer |
|---|---|
| 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 -Increased body temperature |
| Which finding would cause the nurse to alert the health care provider before a patient undergoes percutaneous coronary angiography? | The patient has 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.” |