HESI Case Study Coronary Artery Disease kyra smith
Which information in Kyra’s history increases her risk for coronary artery disease?
-positive family history of hyperlipidemia
-smoking two packs of cigarettes per day
Which nursing diagnosis is most appropriate for Kyra?
risk prone health behaviors related to health condition
What is the best response by the nurse to Kyra’s statement?
Do you feel that you do not need to be involved in your health care?
What information should the nurse indicate in the teaching plan?
an HDL of less than 50 mg/dL for women indicates increased risk
Which instructions should the nurse include in Kyra’s teaching plan related to the use of antihyperlipidemic?
report any side effects
Which ongoing lab test should Kyra anticipate during treatment with antihyperlipidemic?
Which instruction should the nurse include when teaching Kyra about the use of sublingual nitroglycerin?
Place tablet under tongue every 5 minutes until the pain is relieved, up to 3 tablets
The nurse should prepare Kyra for which adverse effect that can occur when starting a daily dose of transdermal nitroglycerin?
Which instructions should the nurse provide Kyra prior to the test?
it is important to return to the exam table immediately after excercising
Which nursing intervention should be implemented first?
Which intervention should be implemented first?
Inform the ED physician of Kyra’s recent surgery.
What is a primary goal of this medication?
Perfuse cardiac tissue by dilating coronary arteries.
Which ECG change is indicative of myocardial injury?
ST segment elevation
Which cardiac isoenzymes is the most sensitive indicator for mycardial damage?
Creatine Kinase – MB Fraction (CK-MB)
Which question should the nurse include in the assessment of Kyra’s chest pain?
what other symptoms are you experiencing?
Which nursing intervention should be included in the plan of care?
administer morphine sulfate IV PRN for chest pain
Which intervention should the nurse initiate first?
administer amiodarone (Cordarone) IV
the primary hcp prescribes a continuous iv infusion of amiodarone (cordarone) 1mg/min for kyra. the available drug is amiodarone (cordarone) 900 mg in 500 mL of D5W. the nurse should set the IV pump at how many mL/hour?
Which nursing intervention should be implemented when Kyra returns to her room?
immobilize the affected leg
Which client should the nurse assess first?
B jack a client with unstable angina who is complaining of chest discomfort and who has been given one nitroglycerin tablet sublingually (SL)
The nurse should immediately intervene to prevent violation of which client right?
the right to have info about the qualification of caregivers
Which expected outcome indicates that the nurse’s discharge teaching was effective?
-kyra chooses walking as her initial for of exercise
-kyra chooses a diet low in saturated fat and cholesterol