create a high-bulk, soft stool

to minimize Valsalva maneuver

impairment of the

contractile function of the ventricle

compared with pain from an MI,

angina pain usually

lasts less than 15 minutes;

does not radiate;

can be relieved by rest,

with or without vasodilators;

is not assoicated with palpations

decreased heart rate

and

decreased blood pressure

tissue atrophy;

decreased or absent pulses;

 possible systolic bruit over involved arteries;

muscular atrophy;

thin, shiny, hairless skin;

thick, ridged toenails;

cool skin temperature;

ulcers on pressure points

4 hours after the  onset of pain from an MI,

a nuse should expect an increase in

creatine kinase-MB (CK-MB),

Troponin T

patients older than 80 with hypertension

may have an auscultatory gap in their

Korotdoff sounds,

it is most important when taking their blood pressure to

80-year-old pt. who lives in a skilled nursing facility and likes to walk is taking a med that lowers BP by dilating blood vessels. 

The most appropriate nursing action for this patient is to

patients would most likely benefit from

long-term aspirin therapy

these pills will help control,

but not cure, my high BP

your diet should include foods high in K+;

diuretics such as hydrochlorothiazide promote the loss of K+ while preventing Na+ and water reabsorption

statements made by a pt. undergoing

drug therapy for hypertension indicates a need for further clarification

primary function of

automaticity in heart muscle is

spontaneously and repetitively

initiate an impulse

clinical manifestations indicates activity intolerance in a pt. with HF who is undergoing

a progressive increase in activity

systolic BP change from 136 to 96 mm/Hg

- a BP change (increase or decrease) of more than 20 mm/Hg during or after activity indicates poor cardiac tolerance of the activity

a pt. with HF

- Beta I agonists are used in the tx. of pt. with HF

- they improve cardiac output and may cause tachycardia and increases in BP, requiring close monitoring of HR and BP

counseling a pt. with high-normal BP regarding diet modifications,

the nurse should instruct the pt. to

cardiac tamponade - compression of the heart caused by fluid in the space betwen the myocardium and the pericardium

-presents with the S/S of JVD, hypotension, and decreased heart sounds

high-density lipid cholesterol >60 mg/dL

- high-density lipids greater than 60 mg/dL are not associated with CAD.  HDL is associated with the good fat and is a proble if a pt's level is too low

a patient is scheduled for exercise nuclear imaging stress testing. 

the nurse explains to the pt. that this test involves

38-y/o is treated for hypertension with amiloride/hydrocholrothiazide (Maxzide) and metoprolol (Lopressor).

four months after his last clinic visit, his BP returns to preptreament levels and he admits he has not been taking his meds regularly. 

The best response by he nurse is:

while providing information to pts to decrease the risk of CAD,

the nurse uses the Therapeutic Lifestyle Changes diet for

atherosclerotic plaque deterioration may cause complete thrombus of the vessel lumen

- unstable angina is associated with deterioration of a once-stable atherosclerotic plaque that ruptues, exposing the intima to blood and stimulated platelet aggregaation and local vasoconstriction with thrombus formation

nitroprusside (Nipride)

- nitroprusside is a potent dilator of both arteries and veins and may cause such marked hypotension that dobutamine administration may be necessary to maintain the BP during its administration

- nighttime awakening

- relief of symptoms whent he patient sits upright

- occurrence 2 to 3 hours after the patient goes to sleep

- fast

- uphill

- for an extended period

- tissue perfusion

- administration of blood

- caused by increased oxygen extraction

- usually indicative of low CO

- observable in cooler portiosn of the body

- atrophy

- pale skin

- cool skin

- a lack of hair

- diminished pulses

- pain in the hip

- buttock discomfort

- persistent inpotence

- diminished pedal pulses

- claudication in the thigh

- edema

- trauma

- embolism

- vasospasm

- thrombosis

- obesity

- diabetes

- hypertension

- dyslipidemia

- family history

- HF

- renal disorder

 - increased atherosclerosis

- abdominal aortic aneurysm

- increased peripheral vascular disease

a nurse is caring for pts in an outpatient clinic setting.

which circumstances should warrent the use of an automated external defibrillator (AED)

- Cardiac arrest

- pulseless ventricular tachycardia

- ventricular firbrillation

- Asystole