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WorksheetsACS / Interventional Cardiology
Total questions: 20
Worksheet time: 40mins
Name 6 non-modifiable & modifiable factors the nurse would instruct the patient about concerning atherosclerosis (3 factors each).
(a)
A patient is scheduled for an angiogram. The nurse should explain to the patient that the angiogram will confirm the diagnosis of occlusive arterial disease by
Showing the location of the obstruction and the collateral circulation
Scanning the affected extremity and identifying the areas of volume changes
Using ultrasound to estimate the velocity changes in the blood vessels
Determining how long the client can walk
Which of the following explains the influence of aging on the development of peripheral vascular disease?
Decreased resistance
Decreased viscosity
Increased resistance
Increase Viscosity
The nurse is caring for a patient with a venous thrombosis of the left lower extremity. To prevent further tissue damage, it is important for the nurse to observe for which of the following?
Blood pressure and heart rate changes
Gradual or acute loss of sensory and motor function
Metabolic acidosis
Swelling in the left lower extremity
The nurse is taking a health history of a new patient. The patient reports experiencing pain in his left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. When planning this patient's subsequent care, the nurse should most likely address what health problem?
Coronary artery disease (CAD)
Intermittent claudication
Arterial embolus
Raynaud's disease
A client is admitted to the emergency room with suspected acute anterior myocardial (left ventricular) infarction. The client is severely short of breath and presents with a new systolic murmur. Based on this assessment finding, which complication of MI would the nurse suspect?
Cardiogenic Shock
Papillary Muscle Rupture
Cardiac Tamponade
Pericarditis
A client with coronary artery disease (CAD), is prescribed a beta blocker to manage their disease. The nurse explains to the client that the primary purpose of using beta-adrenergic blockers in the management of CAD is to
Prevent angiotensin II conversion
Dilate coronary arteries
Decrease homocysteine levels
Decrease workload of the heart
A client in the emergency department complains of squeezing substernal pain that radiates to the left shoulder and jaw. He also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?
Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.
Complete the client's registration information, perform an electrocardiogram, gain I.V. access, and take vital signs.
Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.
Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the physician.
The healthcare provider prescribes a beta blocker for a client who has had a myocardial infarction. The nurse should hold the medication and discuss the order with the healthcare provider if the client has
Ventricular dysrhythmias
A blood pressure of 100/80 mm Hg
A heart rate of 62 bpm
Bibasilar crackles in lung bases
Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective, the nurse will monitor for
Decreased blood pressure and heart rate
Fewer complaints of having cold hands and feet
Improvement in the strength of the distal pulses
The ability to do daily activities without chest pain
A client who has recently started taking rosuvastatin (Crestor) and niacin (vitamin B3) reports all the following symptoms to the nurse. Which is most important to communicate to the health care provider?
Dizziness when changing positions quickly
Skin flushing after taking the medication
Generalized muscle aches and pains
Nausea when taking the drugs before eating
Amlodipine is prescribed for a client with newly diagnosed Prinzmetal's (variant) angina. When teaching the client, the nurse will include the information that amlodipine will
Help prevent clotting in the coronary arteries
Reduce the "fight or flight response"
Increase the force of myocardial contraction
Decrease spasms of coronary arteries
The nurse providing care for a patient post PTCA knows to monitor the patient closely. For what complications should the nurse monitor the patient? Select all that apply.
Retroperitoneal bleeding
Arterial occlusion
Venous insufficiency
Abrupt closure of the coronary artery
Bleeding at the insertion site
A client had a percutaneous transluminal coronary angioplasty (PTCA). What medication will the nurse administer to prevent thrombus formation in the stent?
Diltiazem
Isosorbide mononitrate
Clopidogrel
Metoprolol
The nurse is preparing to discharge a patient who had recovered uneventfully from a percutaneous coronary intervention (PCI). The most important instruction that the nurse should include in the instructions is
Resume regular medications as ordered
Report immediately any change in color or temperature of the extremity
Restrict heavy lifting >10 lbs. for one week
Stop smoking and resume a low-fat, low cholesterol diet
The patient is returning from a cardiac catheterization. The femoral artery approach was used for the procedure. The patient sneezes upon return. The nurse's priority intervention is to
Measure vital signs
Assess for urticaria
Palpate pedal pulses
Check the insertion site
A nurse assesses a client who has just returned to a telemetry unit after having a coronary angiogram using the left femoral artery approach. The client's baseline blood pressure (BP) during the procedure was 132/74 mm Hg and the cardiac rhythm was a normal sinus throughout. Which assessment finding should indicate to the nurse that the client may be experiencing a complication?
BP 144/78 mm Hg
Pedal pulses palpable at +1
Left groin soft with 1 cm ecchymotic area
Apical pulse 132 beats per minute (bpm) with an irregular rhythm
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?
Notify the provider of the client's allergy
Attach a wristband indicating the client's allergy
Ask the client if any other foods cause such a reaction
Notify the dietary department of the client's allergy
A patient is scheduled for a cardiac catheterization. The nurse should do which pre-procedure tasks? (Select all that apply)
Insert a urinary drainage catheter
Verify that written consent has been obtained
Withhold food and oral fluids before the procedure
Check for iodine sensitivity
Administer all prescribed oral medications
Which cardiac lab is an accurate/best indicator of myocardial injury?
Troponin (TNI/TNT)
Total CPK
Lactate
Myoglobin w/ Troponin
BNP
