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Terms in this set (19)Which of the following actions is first priority of care for a client exhibiting signs & symptoms of coronary artery disease? A. Decrease anxiety B. Enhance myocardial oxygenation Enhancing myocardial oxygenation is always the first priority when a client exhibits signs or symptoms of cardiac compromise. Without adequate oxygenation, the myocardium suffers damage. Medical treatment of coronary artery disease includes which of the following procedures? A. Cardiac catheterization C. Oral medication therapy Oral medication administration is a noninvasive, medical treatment for coronary artery disease. Which of the following symptoms is the most likely origin of pain the client described as knifelike chest pain that increases in intensity with inspiration? A. Cardiac D. Pulmonary Pulmonary pain is generally described by these symptoms. Which of the following blood tests is most indicative of cardiac damage? A. Lactate dehydrogenase C. Troponin I Troponin I levels rise rapidly & are detectable within 1 hr of myocardial injury. Troponin I levels aren't detectable in people without cardiac injury. What is the primary reason for administering morphine to a client with an MI? A. To sedate the client D. To decrease oxygen demand on the client's heart Morphine is administered because it decreases myocardial oxygen demand. After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? A. Left-sided heart failure A. Left-sided heart failure The left ventricle is responsible for most of the cardiac output. An anterior wall myocardial infarction may result in a decrease in left ventricular function. What is the first intervention for a client experiencing MI? A. Administer morphine B. Administer oxygen Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during an infarction, so additional oxygen is administered to assist in oxygenation & prevent further damage. Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines & sympathetic nerve stimulation? A. Beta-adrenergic blockers A. Beta-adrenergic blockers Beta-adrenergic blockers work by blocking beta receptors in the myocardium, reducing the response of catecholamines & sympathetic nerve stimulation. They protect the myocardium, helping to reduce the risk of another infarction by decreasing myocardial oxygen demand. What is the most common complication of an MI? A. Cardiogenic shock C. Arrhythmias Arrhythmias, caused by oxygen deprivation to the myocardium, are the most common complication of an MI. Toxicity from which of the following medications may cause a client to see a green-yellow halo around lights? A. Digoxin A. Digoxin One of the most common signs of digoxin toxicity is the visual disturbance known as the "green-yellow halo sign" Which of the following symptoms is most commonly associated with left-sided heart failure? A. Crackles A. Crackles Crackles in the lungs are a classic sign of left-sided heart failure. These sounds are caused by fluid backing up into the pulmonary system. In which of the following disorders would the nurse expect to assess sacral edema in a bedridden client? A. Diabetes D. Right sided heart failure The most accurate area on the body to assess dependent edema in a bedridden client is the sacral area. Which of the following symptoms might a client with right sided heart failure exhibit? A.
Adequate urine output C. Oliguria Inadequate deactivation of aldosterone by the liver after right sided heart failure leads to fluid retention, which causes oliguria. Which of the following classes of medications maximizes cardiac performance in clients with HF by increasing ventricular contractility? A. Beta-adrenergic blockers D. Inotropic agents Inotropic agents are administered to increase the force of the heart's contractions, thereby increasing ventricular contractility & ultimately increasing cardiac output. Which of the following conditions is most closely associated with weight gain, nausea, & a decrease in urine output? A. Angina pectoris D. Right sided heart failure Weight gain, nausea, & a decrease in urine output are secondary effects of right sided heart failure. Cardiomyopathy is usually identified as a symptom of left sided heart failure. Left sided heart failure causes primarily pulmonary symptoms rather than systemic ones. Which of the following conditions is associated with a predictable level of pain that occurs as a result of physical or emotional stress? A. Anxiety B. Stable angina The pain of stable angina is predictable in nature, builds gradually, & quickly reaches maximum intensity. Which of the following types of angina is most closely related with an impending MI? A. Angina decubitus D. Unstable angina Unstable angina progressively increases in frequency, intensity, & duration & is related to an increased risk of MI within 3-18 months. Which of the following conditions is predominant cause of angina? A. Increased preload D. Inadequate oxygen supply to the myocardium Inadequate oxygen supply to the myocardium is responsible for the pain accompanying angina. Which of the following tests is used most often to diagnose angina? A. Chest x-ray
D. 12-lead electrocardiogram (ECG) The 12-lead ECG will indicate ischemia, showing T-wave inversion. Sets with similar terms2205 Cardiac Practice Questions69 terms Shelly_Hopper Exam 2: Cardiac Practice Questions NCLEX69 terms QWERTY3995 Sets found in the same folderCardiac NCLEX ch 830 terms bethhendryx Ch. 40 Oxygenation Potter & Perry105 terms louise_frnchesca 4th Level Exam 4 nclex style questions303 terms cryland01 Other sets by this creatorFinal PQs14 terms kayc0622 Neuro PQs47 terms kayc0622 Spinal Cord Injury NCLEX Questions11 terms kayc0622 Cancer PQs36 terms kayc0622 Other Quizlet setsEconomics 2.241 terms ablaydonsantovetyPLUS Illinois Constitution(sem. 1 final)47 terms A_jaros Blood Supply of CNS27 terms illphil706 Study guide34 terms armandfifeor Related questionsQUESTION When do murmurs of insufficiency occur? 8 answers QUESTION what is the leading cause of sudden cardiac death? 15 answers QUESTION What is the Simon Broome Criteria? 13 answers QUESTION The EKG Technician would place how many leads to the chest and how many leads to the limb to obtain a 12 lead EKG? 2 answers Which of the following procedures is the medical treatment of CAD?You may need a medical procedure to treat CAD. Both angioplasty and CABG are used as treatments. Angioplasty opens blocked or narrowed coronary arteries. During angioplasty, a thin tube with a balloon or other device on the end is threaded through a blood vessel to the narrowed or blocked coronary artery.
Which of the following conditions most commonly results in coronary artery disease quizlet?The most common cause of CAD is a vascular injury with cholesterol plaque buildup in the arteries, known as atherosclerosis.
Which of the following is the primary treatment goal for angina?The goals of angina treatment are to reduce the frequency and severity of the symptoms and to lower the risk of a heart attack and death.
Which of the following interventions should be the first priority when treating a patient experiencing chest pain while walking?2 Administering supplemental oxygen to the patient is the first priority. Administer oxygen to increase SpO 2 to greater than 90% to help prevent further cardiac damage.
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