Angina Pectoris By Rnpedia.Com
Choose the letter of the correct answer. Goodluck! :-)
- 1.An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the client to treat hypoglycemia by ingesting:
- A.
2 to 5 g of a simple carbohydrate.
- B.
10 to 15 g of a simple carbohydrate
- C.
18 to 20 g of a simple carbohydrate.
- D.
25 to 30 g of a simple carbohydrate
- 2.A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?
- A.
“When your chest pain begins, lie down, and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”
- B.
“Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”
- C.
“Continue your activity, and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down.”
- D.
“Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.
- 3.Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication?
- A.
Angina pectoris
- B.
Atherosclerosis
- C.
Atheroma
- D.
Ischemia
- 4.When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to occur, the nurse recognizes that the patient is describing
- A.
Unstable angina.
- B.
Intractable angina.
- C.
Variant angina.
- D.
Refractory angina.
- 5.Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output?
- A.
Angina pectoris
- B.
Cardiomyopathy
- C.
Left-sided heart failure
- D.
Right-sided heart failure
- 6.To enhance the percutaneous absorption of nitroglycerine ointment, it would be MOST important for the nurse to select a site that is
- A.
Muscular.
- B.
Near the heart.
- C.
Non-hairy.
- D.
Over a bony prominence.
- 7.What causes unstable angina?
- A.
Atherosclerosis which ruptures, thrombus forms on top, often leading to complete occlusion
- B.
Atherosclerosis which reduces O2 to tissue
- C.
Atherosclerosis which ruptures, thrombus forms on top, always followed by breaking up and embolus formation leading to complete occlusion and infarction
- 8.What are the drug therapy targets for angina treatment?
- A.
Decrease heart rate; increase activation of RAAS system
- B.
Increase cardiac output; decrease body fluid volume
- C.
Improve myocardial perfusion; reduce metabolic demand
- 9.What are the effects of organic nitrates?
- A.
Vasodilation; dilation of large veins results in decreased after-load and decreased cardiac output
- B.
Vasodilation; dilation of large veins results in decreased pre-load and decreased cardiac output
- C.
Vasodilation; dilation of large veins results in decreased pre-load and decreased blood pressure
- 10.What is the mechanism by which organic nitrates exert their effects?
- A.
Increased PKG which causes relaxation of smooth muscle
- B.
Increased PKG which causes relaxation of large veins and arteries
- C.
Decreased PKG which causes relaxation of smooth muscle
- 11.What are the anti-aginal actions of organic nitrates?
- A.
Increase O2 consumption; redistribution of coronary flow to infarct areas; relief of coronary spasm; improve perfusion to other organs
- B.
Decrease O2 consumption; redistribution of coronary flow to ischemic areas; relief of coronary spasm; improve perfusion
- C.
Decrease O2 consumption; redistribution of coronary flow to infarct areas; relief of coronary spasm; improve perfusion
- 12.What causes unstable angina?
- A.
Atherosclerosis which ruptures, thrombus forms on top, often leading to complete occlusion
- B.
Atherosclerosis which reduces O2 to tissue
- C.
Atherosclerosis which ruptures, thrombus forms on top, always followed by breaking up and embolus formation leading to complete occlusion and infarction
- 13.What are the drug therapy targets for angina treatment?
- A.
Decrease heart rate; increase activation of RAAS system
- B.
Increase cardiac output; decrease body fluid volume
- C.
Improve myocardial perfusion; reduce metabolic demand
- 14.What are the effects of organic nitrates?
- A.
Vasodilation; dilation of large veins results in decreased after-load and decreased cardiac output
- B.
Vasodilation; dilation of large veins results in decreased pre-load and decreased cardiac output
- C.
Vasodilation; dilation of large veins results in decreased pre-load and decreased blood pressure
- 15.What is the mechanism by which organic nitrates exert their effects?
- A.
Increased PKG which causes relaxation of smooth muscle
- B.
Increased PKG which causes relaxation of large veins and arteries
- C.
Decreased PKG which causes relaxation of smooth muscle
- 16.What are the anti-aginal actions of organic nitrates?
- A.
Increase O2 consumption; redistribution of coronary flow to infarct areas; relief of coronary spasm; improve perfusion to other organs
- B.
Decrease O2 consumption; redistribution of coronary flow to ischemic areas; relief of coronary spasm; improve perfusion
- C.
Decrease O2 consumption; redistribution of coronary flow to infarct areas; relief of coronary spasm; improve perfusion
- 17.Angina (angina pectoris) is a type of temporary chest pain, pressure or discomfort.
- A.
True
- B.
False
- 18.A patient with stable angina is more likely to experience chest pain when the heart needs extra oxygen. During which of the following situations does the heart need extra oxygen?
- A.
Smoking a cigarette
- B.
Eating and digesting a heavy meal
- C.
Running up the stairs or other physical activity
- D.
All of the above
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