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concept of nursing 1

Chronic Stable Angina

QuestionAnswer
Which event occurs when myocardial oxygen demand exceeds oxygen supply? Lactic acid is formed and irritates myocardial nerve fibers.
Chronic stable angina is manifested by which common signs and symptoms? -Predictable onset -Pain lasting 10 minutes -Decreasing discomfort with rest
Which factors increase myocardial oxygen demand? -Anemia -Heart rate -Cocaine use -Increased body temperature
Which finding would cause the nurse to alert the health care provider before a patient undergoes percutaneous coronary angiography? The patient has preexisting renal condition.
The nurse is caring for several patients with a history of chronic stable angina. After receiving the previous shift’s report, which patient should the nurse assess first? Patient returning from cardiac catheterization
A 67-year-old man with chronic stable angina is taking sublingual nitroglycerin. Which symptom would help the nurse assess the effectiveness of this medication? Decreased blood pressure
The nurse is assessing a female patient who presents with complaints of fatigue and increasing episodes of angina. Which questions should the nurse include in the assessment? “When was your last menstrual period?”
A patient with diabetes is trying to reduce risk factors for chronic stable angina. Which is the best action for the nurse to recommend? Gradually increase physical activity.
A patient has had type 2 diabetes for the last 22 years and is beginning to have episodes of chronic stable angina. Which statements by the nurse are appropriate for patient education? -“Your physician may order an exercise stress test.” -“Diabetes increases the risk for chronic stable angina.” -“You will need to have an electrocardiogram (ECG) to determine your current cardiovascular status.”
Created by: Lightnning54
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