Coronary Artery Disease

Pathophysiology

100

What is C.A.D?

It is the narrowing and hardening of the coronary arteries of the heart

200

Which are other symptoms of C.A.D? (select all that apply) a. Fullness b. diaphoresis c. headache d. nausea/vomiting

a, b, d

300

Can atherosclerosis happen in any part of the coronary arteries? a. true b. false

a. true

400

Which condition is characterized by fatty deposits, cholesterol and other substances collecting in the inner lining of a coronary artery? a. Arteriosclerosis b. Hypertension c. Pericarditis d Atherosclerosis

d. atherosclerosis

500

Insufficient oxygen is available on the current need, limited in duration and does not cause permanent damage  

What is Ischemia 

Etiology

100

What is most common symptoms of CAD? a. jaw pain b. nausea c. angina d. low oxygen

c. angina

200

What are the some risk factors for CAD? a. smoking b. hypotension c. stress d. a and b e. all of the above f. a and c

F. a and c

300

Who is at a higher risk for developing CAD? a. General population b. First-degree relatives

b. First-degree relatives.

400

What is the worst result of CAD? a. STEMI b. stroke c. diabetes d. Chronic Angina

a.STEMI

500

Which of the following are modifiable risk factors for C.A.D.? (select all that apply) a. high blood pressure b. diabetes c. Smoking d. Genetic 

a,b,c

Potential Complications

100

What are potential complications of C.A.D? (select all that apply) a. heart attack b. irregular heart rate c. heart failure d. sudden death

a, b, c, d

200

What is a predominant symptom of sudden cardiac arrest? a. tachycardia b. loss of consciousness c. BUN level of 15 d. Constipation

b. Loss of Conciousness

300

Jenny comes in to the hospital complaining of back, jaw pain and nausea. She has a history of hypertension, and is experiencing tachycardia. Based on theses symptoms, what would you expect the doctor to order? a. EKG b. MRI c. blood glucose levels d. full metabolic panel

a. EKG

400

When a cholesterol plaque ruptures and a blood clot forms, complete blockage of your heart artery may trigger what?

STEMI

500

Cigarette smoking is a risk factor in coronary artery disease because smoking: a. reduces vasoconstriction and peripheral resistance b.decreases serum lipid levels c. promotes platelet adhesion d. increases serum HDL levels

c. Promotes Platelet Adhesion

Priority Nursing Assessments

100

With CAD chest pain is symptom that occurs often, when assessing pain what questions should the nurse ask about the pain?

What is OPQRST.

200

The cardiac cauterization is done to determine the location and extent of CAD blockage what are the three post procedure nursing considerations. 

1. Watch for bleeding at the insertion site 

2. Monitor peripheral pulses, skin and temp

3. Is leg use lay flat and sandbag doe 4-6 hrs. 

300

Angina can be classified as either stable or unstable, what is unstable angina?

Unstable Angina is when pain occurs when there is no particular demand on the heart and the pain does not subside with rest or nitroglycerin and can last longer than 15 minutes.

400

The nurse, discussing coronary heart disease risk factors with a group of factory employees, would include which option(s) as modifiable risk factors? Select all that apply. a. hypertension b. diabetes mellitus c. obesity d. age e. heredity

What is a, b, c

500

Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease? a. Decrease anxiety b. Enhance myocardial oxygenation c. Administer sublingual nitroglycerin d. Educate the client about his symptoms

What is Enhance Myocardial Oxygenation

Interventions

100

 A patient is admitted for acute angina. Which diagnosis test identifies if the patient will benefit from further invasive management after acute angina or MI? 

What is Cardiac Catherization 

200

What is the first intervention for a client experiencing MI? a. Administer morphine b. Draw blood c. Administer sublingual nitroglycerin d. Obtain an ECG

What is Obtain an ECG

300

When evaluating a patient's knowledge regarding a low-sodium, low-fat cardiac diet, the nurse recognizes additional teaching is needed when the patient selects which food choice? a. Baked flounder b. Angel food cake c. Baked potato with margarine d. Canned chicken noodle soup

What is Canned chicken noodle soup

400

A patient with chronic stable angina is taking calcium channel blockers for with complication does the nurse monitor the patient for? 

What is Hypotension 

500

If a patient experience STEMI how long do we have to rush them to the heart Cath lab 

What is  90 minutes