Question

The nurse receives report on a patient with coronary artery disease for the shift in the cardiac critical care unit.

Questions

1. Which of the following would be considered risk factors for coronary artery disease (CAD) if this patient possesses them?

1. The patient is 59 years old.
2. The patient is a male.
3. This is the patient’s second acute myocardial infarction.
4. The patient’s father died of a heart attack at the age of 75.
5. The patient’s blood pressure is 130/85 mm Hg.
6. The patient runs three times a week.
7. The patient’s cholesterol is 189 mg/dL.
8. The patient’s fasting triglycerides level is 180 mg/dL.
1. The patient’s fasting glucose is 88 mg/dL.

j. The patient’s BMI is 25 kg/m².

2. During the nurse’s shift the practitioner orders an angiography. The patient is noted to have atherosclerosis. He asks you to explain the diagnosis to his wife.

How do you explain this to his wife?

3. It is now a few hours later and the patient starts to complain of moderate chest pain.

True or False: The nurse knows that in the critical care unit angina is controlled by a by a combination of supplemental oxygen, nitrates, analgesia, and surveillance of the angina and of the effects of pharmacologic therapy.

4. The provider has ordered some medications to help manage the patient’s diagnosis.

Which of these medications is a coronary artery vasodilator?

1. Dobutamine
2. Dopamine
3. Milrinone
4. Nitroglycerin

Answer 1

1.Answer ; Following are the options that are considered to be the risk factor for these condition

- A) the patient is 59 year old
- C) This the patient's second acute myocardial infraction.
- D) This patient father died of heart attack at the age of 75
- H) The patient's triglyceride level is 180 mg/ dl
- J) The patient BMI is 25

Reason ; If the patient has above mentioned factor inhis life he has more risk to get this diesease in his life. Other risk factor mentioned in the option are not at all a risk causing things.

2. Answer ; the nurse may tell to his wife, that this is akind of procedure that professional will do to find out the accurate place where your husband blood vessels got narrowed or kind of blocked. This can be done by some kind of catheter insertion into your husband blood vessels and studied by the xrays.

3. Answer ; True.

Reason ; When a patient experience these type of painfull condition, the nurse should encounter the above mentioned intervention and it is appropriate for this situation.

4. Answer ; D) nitroglycerin.