Question 1

Which assessment finding in the client receiving a thrombolytic drug indicates a serious problem that should be reported to the health care provider immediately?

Accepted Answer

Excessive bleeding is a serious complication of thrombolytic therapy and should be reported immediately to the healthcare provider for prompt intervention. Hypertension, bradycardia, and prolonged prothrombin time are possible side effects of thrombolytic therapy but may not indicate a serious problem that requires immediate reporting.

Question 2

The nurse is reviewing the health history for a client who may be a candidate for thrombolytic therapy for the treatment of an MI.The nurse knows that therapy is contraindicated in which circumstances?
Select all that apply.

Accepted Answer

Thrombolytic therapy is contraindicated in clients with a history of intracranial hemorrhage, hemophilia, liver disease, and peptic ulcer disease as it can increase the risk of bleeding. Menses is not a contraindication for thrombolytic therapy.

Question 3

The nurse is preparing to administer a calcium channel blocker to a client experiencing angina.Which mechanism of action makes this medication appropriate for this client?

Accepted Answer

Calcium channel blockers, such as verapamil and diltiazem, work by decreasing afterload, or the resistance the heart has to work against to eject blood from the left ventricle. This reduces the workload of the heart and can help relieve symptoms of angina. The other options, increasing preload (A), having a positive inotropic effect (B), or having a positive chronotropic effect (D), are not mechanisms of action for calcium channel blockers in treating angina.

Question 4

The nurse is preparing to administer a beta-adreneric blocker to a client experiencing angina.A student nurse asks the nurse why the medication is being used to treat angina.Which mechanism of action with the nurse include in the response to the student?

Accepted Answer

Beta-adrenergic blockers work by reducing the heart rate and contractility of the heart, resulting in a decrease in oxygen demand and a reduction of angina symptoms. This is achieved through a negative inotropic effect, which reduces the force of contraction of the heart, and a negative chronotropic effect, which reduces the heart rate. These actions can help to decrease the workload of the heart and improve oxygen supply and demand balance, making them effective in treating angina.

Question 5

The nurse educator is preparing an inservice for nurses who are new to the cardiac care unit.When discussing antianginal therapy,which basic strategies will the educator include?
Select all that apply.

Accepted Answer

Antianginal therapy aims to decrease the workload of the heart, which can be achieved by increasing blood flow to the myocardium and decreasing myocardial oxygen demand. Options A and C are not relevant to antianginal therapy, and option B may even exacerbate angina symptoms by increasing myocardial oxygen demand.

Question 6

The nurse uses which statement to best describe the link between atherosclerosis and coronary artery disease?

Accepted Answer

Atherosclerosis is the buildup of plaque in the walls of arteries, which can lead to narrowing and hardening of the arteries. When atherosclerotic plaques block the inside of the coronary arteries, this reduces blood flow to the heart muscle, causing coronary artery disease. Ischemia, or inadequate blood supply, can result from this blockage, but it is not directly caused by the plaques breaking off or rupturing. Spasms around the atherosclerotic areas may contribute to ischemia, but they are not the primary cause of coronary artery disease.

Question 7

Nitroglycerine relieves angina in part by vasodilating veins.What is the ultimate effect for a client who is prescribed nitroglycerin?

Accepted Answer

The answer of Nitroglycerine relieves angina in part by vasodilating...

Question 8

The client is admitted with a diagnosis of angina.The client's angiogram shows no sign of coronary artery disease.Which type of angina does the nurse document in the medical record for this client?

Accepted Answer

This type of angina, also known as Prinzmetal's angina, is caused by spasms in the coronary arteries and may not show signs of coronary artery disease on an angiogram. It typically occurs at rest and may be relieved by medications that dilate the arteries. Classic angina (B) and stable angina (D) are both caused by the narrowing of the coronary arteries, while unstable angina (A) is a more serious form of angina that occurs at rest or with minimal exertion and may be a sign of an impending heart attack.

Question 9

The nurse realizes that client teaching regarding the cause of anginal pain was effective when the client makes which statement?

Accepted Answer

Anginal pain is caused by a lack of oxygen getting to the heart, which is a result of narrowed arteries. Option C is the only choice that accurately reflects this cause. Options A, B, and D are incorrect as they provide inaccurate information regarding the cause of anginal pain.

Question 10

The nurse is caring for a client who is recovering from a myocardial infarction (MI).The nurse anticipates that the client will be prescribed which medications in order to reduce post-MI mortality?
Select all that apply.

Accepted Answer

Aspirin is used to prevent platelet aggregation which helps reduce the risk of clot formation. Beta-blockers are prescribed to decrease the heart rate and blood pressure which reduces the workload of the heart. ACE inhibitors are prescribed to reduce the workload of the heart by decreasing blood pressure and aiding in the prevention of heart failure. Narcotic analgesics and antidysrhythmics are not typically prescribed for reducing post-MI mortality.

Question 11

A client asks which conditions will cause his heart to need more oxygen.Which responses by the nurse are appropriate?
Select all that apply.

Accepted Answer

Increased physical activity and emotional stress cause the heart to need more oxygen because they increase the heart rate and workload of the heart. Watching a television show, eating a meal, and listening to music do not have a significant impact on the heart's oxygen demand.

Question 12

A client diagnosed with myocardial infarction is prescribed thrombolytic therapy.The nurse recognizes that which is the goal of this therapy?

Accepted Answer

Thrombolytic therapy is the administration of drugs such as alteplase, reteplase, or tenecteplase that dissolve clots that have already formed in an effort to restore blood flow to the affected area. The goal is to prevent further damage to the heart muscle and improve outcomes.

Question 13

The nurse caring for a client who is at risk for experiencing a myocardial infarction knows that which hemodynamic factors can affect the supply of myocardial oxygen?
Select all that apply.

Accepted Answer

The answer of The nurse caring for a client who...

Question 14

The nurse teaches the client that which is the major difference between stable angina and the pain associated with myocardial infarction (MI)?

Accepted Answer

Stable angina is temporary and relieved with nitroglycerine and rest, whereas the pain associated with myocardial infarction (MI) is more severe and prolonged, and cannot be relieved as easily. Additionally, MI pain may radiate to other areas such as the left arm or jaw, but not always. Therefore, the major difference is in the management and intensity of the pain.

Question 15

The client is admitted with a diagnosis of angina.The chest pain occurred while at rest.Which term will the nurse use when documenting this client's angina?

Accepted Answer

Unstable angina occurs at rest, during sleep, or with minimal exertion and is more severe and prolonged than stable angina. Classic angina and stable angina occur with physical exertion or emotional stress, while silent angina is asymptomatic.

Question 16

A client is diagnosed with coronary artery disease (CAD).What will the nurse teach the client in regards to weight and exercise?

Accepted Answer

Regular exercise has been shown to improve overall cardiovascular health and can benefit individuals with CAD, even if it is not strenuous. Maintaining a healthy weight is also important, but exercise should not be disregarded.

Question 17

The nurse is preparing to teach a client therapeutic lifestyle changes that can decrease the risk of coronary artery disease.Which topics will the nurse include in the teaching?
Select all that apply.

Accepted Answer

Eliminating foods high in cholesterol and saturated fats, maintaining blood pressure within normal levels, and exercising and maintaining a healthy weight are all important lifestyle changes that can help decrease the risk of coronary artery disease.

Question 18

The nurse is teaching a client about the pharmacological management of angina.The nurse plans to include which points in the client teaching?
Select all that apply.

Accepted Answer

B) Medications for angina, such as nitrates, dilate veins (and arteries), reducing the amount of blood returning to the heart, which decreases the heart's workload. C) Some medications, like beta-blockers, reduce the force of the heart's contractions, further decreasing the heart's oxygen demand.

Question 19

A client is diagnosed with coronary artery disease.What will the nurse teach the client in regards to alcohol consumption?

Accepted Answer

Limiting alcohol to one drink per day can help manage coronary artery disease by reducing the risk of further heart damage without the need for complete abstinence, which aligns with moderate consumption guidelines for heart health.

Question 20

The nurse anticipates that which is a goal of antianginal therapy?

Accepted Answer

The goal of antianginal therapy is to reduce the frequency and severity of angina episodes. This is achieved through various approaches, such as increasing oxygen supply to the heart, decreasing oxygen demand of the heart, or a combination of both. Options A, B, and C are not correct because they would actually worsen angina episodes by increasing the workload and oxygen demand of the heart.

Quiz 35: Pharmacotherapy of Angina Pectoris and Myocardial Infarction

Which assessment finding in the client receiving a thrombolytic drug indicates a serious problem that should be reported to the health care provider immediately?

The nurse is reviewing the health history for a client who may be a candidate for thrombolytic therapy for the treatment of an MI.The nurse knows that therapy is contraindicated in which circumstances? Select all that apply.

The nurse is preparing to administer a calcium channel blocker to a client experiencing angina.Which mechanism of action makes this medication appropriate for this client?

The nurse is preparing to administer a beta-adreneric blocker to a client experiencing angina.A student nurse asks the nurse why the medication is being used to treat angina.Which mechanism of action with the nurse include in the response to the student?

The nurse educator is preparing an inservice for nurses who are new to the cardiac care unit.When discussing antianginal therapy,which basic strategies will the educator include? Select all that apply.

The nurse uses which statement to best describe the link between atherosclerosis and coronary artery disease?

Nitroglycerine relieves angina in part by vasodilating veins.What is the ultimate effect for a client who is prescribed nitroglycerin?

The client is admitted with a diagnosis of angina.The client's angiogram shows no sign of coronary artery disease.Which type of angina does the nurse document in the medical record for this client?

The nurse realizes that client teaching regarding the cause of anginal pain was effective when the client makes which statement?

The nurse is caring for a client who is recovering from a myocardial infarction (MI) .The nurse anticipates that the client will be prescribed which medications in order to reduce post-MI mortality? Select all that apply.

A client asks which conditions will cause his heart to need more oxygen.Which responses by the nurse are appropriate? Select all that apply.

A client diagnosed with myocardial infarction is prescribed thrombolytic therapy.The nurse recognizes that which is the goal of this therapy?

The nurse caring for a client who is at risk for experiencing a myocardial infarction knows that which hemodynamic factors can affect the supply of myocardial oxygen? Select all that apply.

The nurse teaches the client that which is the major difference between stable angina and the pain associated with myocardial infarction (MI) ?

The client is admitted with a diagnosis of angina.The chest pain occurred while at rest.Which term will the nurse use when documenting this client's angina?

A client is diagnosed with coronary artery disease (CAD) .What will the nurse teach the client in regards to weight and exercise?

The nurse is preparing to teach a client therapeutic lifestyle changes that can decrease the risk of coronary artery disease.Which topics will the nurse include in the teaching? Select all that apply.

The nurse is teaching a client about the pharmacological management of angina.The nurse plans to include which points in the client teaching? Select all that apply.

A client is diagnosed with coronary artery disease.What will the nurse teach the client in regards to alcohol consumption?

The nurse anticipates that which is a goal of antianginal therapy?