Term
| The client is being treated for angina. He asks the nurse if angina is the same thing as having a heart attack. What is the best response by the nurse? Select all that apply. |
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Definition
“Angina is caused by insufficient oxygen to the myocardium.”
“Severe emotional distress and panic can accompany angina.”
“A heart attack, or myocardial infarction, means part of your heart has died. |
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Term
| The nurse is providing care to a client who has experienced several episodes of angina. What is the primary outcome for this client? |
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Definition
| The client will experience relief of chest pain with nitrate therapy. |
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Term
| The physician has prescribed metoprolol (Lopressor) for this client. Which symptoms would the nurse recognize as most significant to report to the physician? |
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Definition
| Palpitations, diaphoresis, and anxiety |
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Term
| The client takes nitroglycerine (Nitrostat) for relief of occasional stable angina. The nurse would be most concerned about which statement made by the client? |
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Definition
| “I’m getting married tomorrow; I hope my erectile dysfunction isn’t a problem.” |
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Term
| The nurse is preparing to administer nitroglycerine via the intravenous route. What must the nurse plan to do prior to administering this medication? |
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Definition
| Cover the intravenous (IV) bottle to decrease light exposure. |
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Term
| The nurse has completed medication education with the client who is receiving atenolol (Tenormin). The nurse determines that teaching is effective when the client makes which statement? |
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Definition
| “I must call my doctor if I want to stop this medicine.” |
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Term
| The client is receiving diltiazem (Cardizem) and wants to know why he developed a headache after taking the medication. What is the best response by the nurse? |
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Definition
| “Diltiazem (Cardizem) causes the blood vessels in your brain to widen; giving you the headache.” |
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Term
| The client in the emergency department experienced an acute myocardial infarction (MI) eight hours ago. The nurse is administering reteplase (Retavase) intravenously (IV). The client asks the nurse what is being done. What is the best response by the nurse? |
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Definition
| “This medication is dissolving the clot that is causing your heart attack.” |
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Term
| The client receives reteplase (Retavase) intravenously (IV). The nurse assesses the client for orientation and level of consciousness. The client’s wife asks the nurse why this is being done. What does the nurse indicate as the reason for the assessment? |
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Definition
| The medication can cause bleeding in the brain; this affects orientation and level of consciousness. |
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Term
| The nurse has completed medication education with the client who is receiving nitroglycerine (Nitrostat) as therapy for angina. The nurse determines that teaching is effective when the client makes which statement? |
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Definition
| “I can take 1 tablet every 5 minutes, but not more than 3 tablets in15 minutes.” |
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Term
| The nurse is teaching a class on antianginal drugs to a group of clients who have experienced myocardial infarctions (MIs). The nurse determines that learning has occurred when a client makes which statement? |
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Definition
| These medications decrease how much oxygen my heart needs.” |
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Term
| The client receives amlodipine (Norvasc) for treatment of angina. What is a primary assessment for the nurse? |
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Definition
| A sudden weight gain of 2 pounds or more |
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Term
| The nurse has completed medication education with a post-myocardial infarction (MI) client about nifedipine (Adalat). The nurse evaluates the education as effective when the client makes which statement? |
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Definition
| “I will need to take this medicine for the rest of my life.” |
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Term
| Which of the following would be the most likely reason that atherosclerotic plaque would be responsible for producing a myocardial infarction? |
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Definition
| Atherosclerotic plaque causes a blockage that prevents blood from reaching the myocardium. |
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Term
| The myocardium receives blood via coronary arteries that attach to: |
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Definition
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Term
| Which of the following most likely would be related to angina as opposed to a myocardial infarction? |
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Definition
| Chest pain relieved by one sublingual nitroglycerin |
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Term
| The primary pharmacologic goal in treating patients experiencing stable angina is to: |
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Definition
| Increase cardiac oxygen supply and reduce cardiac oxygen demand. |
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Term
| Which of the following reduce the hearts demand for oxygen by lowering heart rate? |
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Definition
| Beta-adrenergic blockers and calcium channel blockers |
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Term
| Which adverse effect listed below is common for patients taking topical nitroglycerin paste? |
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Definition
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Term
| Following a myocardial infarction, elevations in which of the following cardiac markers would be seen first, and are cardiac tissue–specific? |
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Definition
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Term
| Which myocardial infarction patient listed below would be a candidate for reteplase (Retavase) therapy? |
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Definition
| 54-year-old female with type II diabetes |
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Term
| Which of the following is indicated for the prevention of blood clots? |
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Definition
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Term
| The nurse is conducting an education class about myocardial blood supply for clients with coronary artery disease (CAD). The nurse determines that learning has occurred when the clients make which statement(s). Select all that apply. |
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Definition
“The heart has right and left arteries that arise from the aorta.”
“Anastomoses are small arteries that supply blood to the heart
“The right and left arteries have smaller branches that go around the heart.” |
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Term
| The client says to the nurse “My doctor said I can’t have fried chicken anymore because I have heart disease. I’ve eaten it all my life and am fine except for some indigestion lately.” What is the best response by the nurse? |
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Definition
| “Your indigestion could actually be chest pain caused by narrowed coronary arteries; you will need a low-fat diet.” |
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