Based on these findings, which patient has the hig

Question 1 of 5

Based on these findings, which patient has the highest cardiac risk?

A. The man, because his HDL is lower B. The woman, because her HDL is higher C. The woman, because her cholesterol is higher D. The man, because his cholesterol-to-HDL ratio is higher

Correct Answer: D

Rationale: A higher cholesterol-to-HDL ratio increases cardiac risk.

Question 2 of 5

Discuss in detail the postoperative nursing management of a patient who has undergone right Pneumonectomy.

A. Monitor respiratory status B. Manage pain C. Prevent complications D. All of the above

Correct Answer: D

Rationale: Postoperative care focuses on respiratory function, pain control, and preventing complications like pneumonia.

Question 3 of 5

Which of the following is the gold standard laboratory test in identifying heart damage from an acute myocardial infarction?

A. Myoglobin B. Troponin C. Creatine kinase (CK) D. Aspartate aminotransferase (AST)

Correct Answer: B

Rationale: Troponin is highly specific for cardiac injury and is considered the gold standard for diagnosing acute myocardial infarction.

Question 4 of 5

You are observing the cardiac rhythms for patients in the coronary care unit. Which of these patients will need immediate intervention?

A. A patient admitted with heart failure who has atrial fibrillation with a rate of 88 while at rest. B. A patient with a newly implanted demand ventricular pacemaker, who has occasional periods of sinus rhythm, rate 90 to 100. C. A patient who has just arrived on the unit with an acute MI and has sinus rhythm, rate 76, with frequent premature ventricular contractions. D. A patient who recently started taking atenolol (Tenormin) and has a first-degree heart block, rate 58.

Correct Answer: C

Rationale: Frequent PVCs in a patient with acute MI can lead to more serious arrhythmias and require immediate attention.

Question 5 of 5

You are teamed with an LPN/LVN in caring for a group of patients on the cardiac unit. Which action by the LPN/LVN indicates you need to intervene immediately?

A. The LPN/LVN assists a patient to the bathroom 30 minutes after the patient has returned from a coronary arteriogram. B. The LPN/LVN checks a patient's blood pressure before administering nitroglycerin (Nitro-Stat) 0.4 mg SL. C. The LPN/LVN returns a patient to bed after the patient's heart rate increases from 72 to 96 while ambulating in the hall. D. The LPN/LVN brings breakfast to a patient who is scheduled for an echocardiogram later in the morning.

Correct Answer: A

Rationale: Post-coronary arteriogram, patients need rest to prevent bleeding at the puncture site; assisting them to the bathroom too soon can increase the risk of complications.

Based on these findings, which patient has the highest cardiac risk?

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