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2. What should be told
about carrying nitroglycerin tablets?
3. Mrs.
Williams is having an attack of angina. What are strategies that
can be used to decrease her heart's need for oxygen?
4. What should the public
be taught about the identification of symptoms of a heart attack?
5. Mrs. Williams has
been admitted to the ER with severe chest pain. What are the most
important things to be included in the the nurse's initial assessment of
Mrs. Williams?
ACC/AHA
Guidelines for the Management of Patients With Acute Myocardial Infarction
6. What are the priority
nursing interventions for Mrs. Williams?
7. What should be included
in the history in order to determine whether Mrs. Williams is a candidate
for thrombolytic therapy?
8. What is an appropriate
time period for the initiation of thrombolytic therapy?
9. Why is Mrs. Williams
placed on a cardiac monitor during thrombolytic therapy?
10. What observations
and interventions should be made for Mrs. Williams while she is receiving
thrombolytic therapy?
11. What interventions
should be instituted to decrease the myocardium's demand for oxygen when
someone has had an MI?
12. Why are myocardial
infarction patients placed on stool softeners?
13. Is it necessary
to remove ice water and caffeinated beverages for Mrs. Williams? ACC/AHA
Guidelines for the Management of Patients With Acute Myocardial Infarction
14. Subsequently, Mrs. Williams had a cardiac catheterization and the placement of a stent in one of her coronary arteries. She is returned to the clinical unit. What observations need to be made on the clinical unit?
Find
out about the use of abciximab (ReoPro) with stents
15. Mrs. Williams reports
that she seems to be bleeding from the catheterization site. What
observations need to be made on the unit? How should she be positioned
to prevent bleeding at the catheter site?
16. What are the differences in the nursing care post-catheterization for a person that has or has not had VasoSeal (Vascular Hemostasis Device) or a Percutaneous Vascular System in place?
Information
about Arterial Closure Devices
17. Mrs. Williams is
being discharged. What should she be taught about any difficulties that
she might encounter post-procedure?
18. What should be included
in teaching about lifestyle changes in order to promote cardiovascular
health?
19. Six months later, Mrs. Williams has returned to the hospital with unstable angina. It is recommended that she have coronary artery bypass surgery. What would need to be included in her preoperative teaching?
20. Following surgery, Mrs. Williams is in the Intensive Care Unit. When she comes off the ventilator she will be transferred to the telemetry unit. It is permissible to clamp her chest tubes while she is being transported to the telemetry unit. why or why not? Explain your answer.
21. Mrs. Williams' chest
tubes are bubbling gently. Which chamber of the chest tube apparatus
should be bubbling?
22. A saphenous vein
graft was used for the bypass graft. What additional observations
need to be made? What should be done if the nurse is unable to palpate
pedal pulses? What other observations should be made?
23. Mrs. Williams' daughter
reports that she is confused. What should be included in the nurse's
assessment? What are three possible reasons for her confusion?
24. A patient who had
a myocardial infarction tells the nurse he is concerned about the resumption
of physical activity following the MI. What should he be told?
What should he be told about sexual activity?
25. What should a patient
with a permanent pacemaker be told about checking his heart rate?
Find out if cardiac pacemakers are affected by cellular telephones
26. A nurse checking the pulse of a patient with a pacemaker finds that his radial pulse is 62. What are the appropriate subsequent actions?
Nursing Care of the Patient with Coronary Artery Disease Quiz
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Created 10/31/98
Copyright 1998 © Margarete
Lieb Zalon