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concept of nursing 1
Acute Coronary Syndrome
| Question | Answer |
|---|---|
| Which statement describes how unstable angina differs from chronic stable angina? | Unstable angina has a random onset. |
| Unstable angina is considered an emergency because of which pathophysiological occurrence? | Platelet aggregation blocks the artery. |
| A patient has been diagnosed with acute coronary syndrome. Which assessment findings would the nurse expect to see? | -Pain occurs at rest. -Pain may radiate to other areas. -Severe, immobilizing chest pain. |
| A male patient diagnosed with acute ST-segment-elevation myocardial infarction (STEMI) is receiving thrombolytic therapy. Which assessment finding by the nurse would require immediate intervention? | The skin is pale and cool with bilateral pedal pulses faintly palpable. |
| Which patients are more likely to require off-pump coronary artery bypass (OPCAB) surgery instead of coronary artery bypass graft (CABG) surgery? | -Patient with renal complications whose urine output is 50 mL per day -Patient with left ventricular heart failure, obesity, and poor wound healing -Patient with history of an ischemic stroke who has difficulty using the right arm |
| A patient comes to the emergency department with complaints of chest pain. The initial ECG shows ST-segment elevation in more than three leads. Which intervention should the nurse perform first? | Administer oxygen and nitrates. |
| A patient is being discharged with prescriptions for aspirin and clopidogrel after percutaneous coronary intervention (PCI) to treat acute coronary syndrome. | -- |
| The patient wants to know why these medications need to be taken if the artery is open after the stent was placed. Which is the best response? | Aspirin and clopidogrel can prevent another clot from forming. |
| A patient is complaining of angina that has increased in intensity. The patient’s vital signs are as follows: blood pressure 94/52, heart rate 122, respiratory rate 20, temperature 99.9, and oxygenation saturation 93%. | -- |
| An electrocardiogram for the patient shows elevated ST segment in leads II and III. Which intervention has the highest priority in the nursing management of this patient? | Notification of the health care provider |
| A patient comes to the emergency department with complaints of chest pain, and heart monitoring is initiated. The nurse notes T-wave inversion on the electrocardiogram (ECG). | -- |
| The patient questions the nurse about what this means. Which is the nurse’s best response? | “You are having decreased blood flow to part of the heart.” |
| The Emergency Medical Service (EMS) was called to assess a person who had collapsed. The patient’s electrocardiogram (ECG) has been transmitted to the emergency department for interpretation and intervention. | -- |
| Which results would require the patient’s immediate transport for diagnostic cardiac catheterization? | ST elevation |
| The nurse administers morphine as ordered to a patient experiencing chest pain of 9 on a scale of 10 that is unrelieved by three doses of nitroglycerin. Which assessment finding would be most concerning? | Distended neck veins |
Created by:
Lightnning54
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