When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?

Correct Answer: C

Rationale: The correct answer is C: Report of severe chest pain. Severe chest pain in a patient with acute coronary syndrome after angioplasty with stent placement can indicate a potential complication like stent thrombosis or myocardial infarction. Immediate action is required to assess the patient's condition, administer appropriate interventions, and prevent further complications. A: Heart rate 102 beats/min - Although an elevated heart rate can indicate cardiac stress, it is not as urgent as severe chest pain in this context. B: Pedal pulses 1+ bilaterally - While decreased pedal pulses may indicate peripheral vascular issues, it is not as critical as addressing severe chest pain in a patient with acute coronary syndrome. D: Blood pressure 103/54 mm Hg - Although low blood pressure can be concerning, it is not as immediately life-threatening as severe chest pain in this scenario.

Correct Answer: C

Rationale: Step 1: ACE inhibitors are commonly prescribed for hypertension as they help relax blood vessels, lowering blood pressure. Step 2: Antilipemics are for lowering cholesterol, not blood pressure. Step 3: Antibiotics are for infections, not hypertension. Step 4: Antidiabetics are for managing blood sugar levels, not blood pressure. Summary: Choice C is correct as ACE inhibitors are specifically used to manage hypertension by lowering blood pressure. Choices A, B, and D are incorrect as they are used for different purposes unrelated to hypertension.

Correct Answer: B

Rationale: The correct answer is B because echocardiography does not usually require dye injection. Step 1: Echocardiography uses ultrasound waves to create images of the heart; dye is not typically needed. Step 2: Choice A is correct because IV catheter insertion is not part of echocardiography. Step 3: Choice C is incorrect as fasting is usually required before echocardiography to ensure clear images. Step 4: Choice D is correct as positioning and breathing instructions are commonly provided during echocardiography. In summary, the need for dye injection in echocardiography is uncommon, making choice B the correct answer.

Correct Answer: A

Rationale: The correct answer is A because the 7-day postoperative CABG client with an infection in the sternal surgical incision requires ongoing wound care with dressings and irrigation. This assignment is suitable for an LPN due to their skill level in wound care. Choice B is incorrect because a client being observed for a myocardial infarction requires close monitoring by an RN. Choice C is incorrect because a client being discharged soon requires coordination and paperwork, which is typically done by an RN. Choice D is incorrect because a client scheduled for a PTCA procedure requires pre-procedure assessments and care typically done by an RN. Thus, choice A is the best option for an LPN assignment.

Correct Answer: D

Rationale: The correct answer is D: Cigarette smoking. Smoking is a major risk factor for peripheral arterial disease as it narrows and damages blood vessels, leading to reduced blood flow. This can result in serious complications such as leg pain, poor wound healing, and even amputation. Dysrhythmias (A) are heart rhythm abnormalities and not directly linked to peripheral arterial disease. Low-protein intake (B) is not a known risk factor for peripheral arterial disease. Exposure to cool weather (C) may exacerbate symptoms in individuals with peripheral arterial disease, but it is not a major risk factor for developing the condition.