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CAD, Diagnostics and ACS Flashcards | StudBud
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CAD, Diagnostics and ACS
CAD, Diagnostics and ACS
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1
Complications of CAD include
SATA
Acute coronary syndrome
Diabetes
Heart failure
Dysrhythmias
2
I can see where the perfusion through the coronary artery was restored.
True
False
3
Which of the following labs are used to diagnose cardiovascular disease?
SATA
BNP
Lipid profile
Basic metabolic profile
Troponins, CK-mb
4
Which of the following are included in the nursing management for a client with ACS/MI? SATA
Monitor for complications
Evaluate interventions
Frequent VS assessment and I&O
Oxygen and medication therapy
5
Atherosclerosis develops at the same rate for everyone.
False
True
6
Which of the following are performed as percutaneous coronary interventions?
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For Stent placement
Insertion of pericardial drain
To perform Balloon angioplasty
For coronary angiography
7
The treatment goal for a client having chest pain is
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increase oxygen supply
increase oxygen demand
decrease oxygen supply
decrease oxygen demand
8
Which of the following interventions are needed post PCI?
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Maintain bedrest for 2-6 hours
Monitor site for bleeding
Screen for dysrhythmias
Assess pulses distal to insertion site
9
Your client post successful CPR has the following orders. Which one should the nurse question?
Oxygen at 4 L/min per nasal cannula
IV NTG at 5 mcg/minute and increase 5 mcg/minute every 3 to 5 minutes
Tissue plasminogen activator(t-PA) 100 mg IV infused over 3 hours
Morphine sulfate 2 mg IV every 10 minutes until the pain is relieved
10
Primary risk factors for a patient to experience Sudden Cardiac Death are
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Ventricular dysrhythmias following MI
Left ventricular dysfunction (EF 30%)
cardiomyopathy
family history of premature atherosclerosis
11
Key assessment priorities when a client is admitted with possible ACS/MI include
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chest discomfort
BNP
ST changes
positive biomarkers.
12
Which of the following are possible complications of CABG surgery?
SATA
Coagulopathy
Hypotension
Neurologic dysfunction
Hypertension
13
What can occur if a client has taken an erectile dysfunction medication and is given nitroglycerine?
respiratory arrest
cardiac arrest
hypertensive crisis
severe hypotension
14
Angina pectoris is the most common manifestation of oxygen supply not meeting demand of the heart muscle
True
False
15
Which nursing intervention is appropriate to help prevent DVTs post CABG?
Discourage exercising.
Encourage crossing of legs
Apply sequential pneumatic compression devices as prescribed
Use pillows in the popliteal space to elevate the knees
16
A client arrived to the ED 48 hours after CP started. The nurse would anticipate which lab to be positive for an MI.
Troponin T
Myoglobin
BNP
Homocysteine
17
Two risk factors for CAD that increase the workload of the heart and increase myocardial oxygen demand are:
Elevated serum lipids and diabetes mellitus.
Obesity and smokeless tobacco use.
Hypertension and cigarette smoking.
Physical inactivity and elevated homocysteine levels.
18
The most common cause of cardiovascular disease is atherosclerosis.
True
False
19
Chest pain that occurs suddenly and continues despite rest and meds is the presenting symptom in most patients with ACS.
False
True
20
ST changes on a 12-lead EKG indicates the client may be having ischemia/infarction.
False
True
21
Which of the following are diagnostic procedures use in identifying cardiovascular disease?
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Echocardiogram
12-lead EKG
History and physical
Cardiac catheterization
22
Teaching about implementing dietary changes to decrease the risk of CAD has been effective when the patient says
Most of my fat intake should be from olive oil or the oils in nuts.
The fat in my diet should be about 5% of my calories.
I should have some type of fish at least 3 times a week.
I should not eat any red meat such as beef, pork, or lamb.
23
A client needs to be NPO for a transthoracic echocardiogram.
True
False
24
Coronary revascularization with CABG surgery is recommended for patients who
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have failed PCI and continue to have chest pain,
have left main coronary artery or three-vessel disease
fail medical management
are not candidates for PCI
25
Management goals in the treatment of CAD include
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Remove non-modifiable risk factors
Reperfusion post interventional therapy
Increasing oxygen supply while decreasing oxygen demand
Decrease modifiable risk factors
26
What serum levels should be monitored in a client who has been prescribed atorvastatin?
BUN and creatinine
Complete blood count
Liver enzymes
Na and K levels
27
This is a normal EKG
True
False
28
A client returns post cardiac cath. Which of the following assessments would require immediate action by the nurse? SATA
Pedal pulses are 2+ bilaterally.
ST-segment elevation develops on the ECG.
Burning at the insertion site.
Apical pulse is 54 beats/minute.
