A 62-year-old woman has prehypertension (BP 142/90 mm Hg) and smokes a pack of cigarettes per day. She has no symptoms of CAD but a recent LDL level was 154 mg/dL (3.98 mmol/L). Based on these findings, the nurse would expect that which treatment plan would be used first for this patient?

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Med-Surg Cardiovascular Practice Questions Questions

Question 1 of 5

A 62-year-old woman has prehypertension (BP 142/90 mm Hg) and smokes a pack of cigarettes per day. She has no symptoms of CAD but a recent LDL level was 154 mg/dL (3.98 mmol/L). Based on these findings, the nurse would expect that which treatment plan would be used first for this patient?

Correct Answer: C

Rationale: Lifestyle changes are prioritized before pharmacotherapy.

Question 2 of 5

A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is:

Correct Answer: D

Rationale: Ventricular fibrillation is a life-threatening arrhythmia that often occurs in the first 24 hours after an MI.

Question 3 of 5

What procedure is used cautiously or not at all in elderly clients who have aortic stenosis because stretching may fracture the aortic valve if it is calcified, as is often the case in older clients?

Correct Answer: A

Rationale: Balloon valvuloplasty poses a risk of fracturing calcified aortic valves in elderly clients.

Question 4 of 5

During the initial post-operative assessment of a patient who has just transferred to the post-anesthesia care unit (PACU) after repair of an abdominal aortic aneurysm, you obtain all of these data. Which has the most immediate implications for the patient's care?

Correct Answer: A

Rationale: Hypertension can increase the risk of bleeding or aneurysm re-rupture.

Question 5 of 5

When caring for a patient following a cardiac catheterization with coronary angiography, which of the following findings would be of most concern to the nurse?

Correct Answer: C

Rationale: An absence of pulses distal to the insertion site indicates that clotting around the site is occluding blood flow to the extremity and is an emergency that requires immediate medical attention.

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