Nursing care of people with coronary heart disease
Coronary Heart Disease Nursing Quiz
Test your knowledge on nursing care for patients with coronary heart disease. This quiz covers essential topics, including cardiology concepts, patient assessment, and management protocols.
Topics include:
- Pathophysiology of coronary heart disease
- Signs and symptoms of myocardial infarction
- Management of arrhythmias
- Patient education on heart health
Automaticity is the pacemaker cells of the SA node initiating an action potential. Which of the following cells do not possess this ability?
Myocardial muscle cells
Cardiomyocytes
Smooth muscle cells
Purkinje cells
The artery the supplies the left ventricle of the heart is the:
Posterior descending
Right coronary
Circumflex
Anterior descending
Mrs Betty Read, aged 77 years, is complaining of nausea, pain in her right shoulder and shortness of breath. Why should the nurse caring for Mrs Read call immediately for the medical officer?
Mrs Read is dehydrated
Mrs Read is experiencing a myocardial infarction
Mrs Read has esophagitis
Mrs Read is constipated
Mr William Smith, aged 74 years, is complaining of dizziness and intermittent syncope and his vital signs are within normal ranges. What does the nurse suspect Mr Smith is experiencing?
Sinus tachycardia
Heart failure
Ventricular fibrillation
Sick sinus syndrome
Mr Phillip Green, who has 90% occlusion of his left anterior descending coronary artery, asks the nurse why he did not have symptoms earlier. The nurse's best response is:
There is a family history of coronary heart disease
Please ask your cardiologist to explain that
Our hearts are able to adapt to changes, and symptoms of atherosclerosis do not begin to appear until about 75% of the artery has been affected
You have probably been having symptoms but did not recognise them
Ms Denise Evans has been admitted post acute myocardial infarction (MI). The nurse caring for Ms Evans will identify the following as a warning sign for an increased risk of a lethal arrhythmia:
Decreased white blood cell count
Heart rate between 78-110 beats per minute
Serum potassium of 4.2mmol/L
The presence of Premature Ventricular Contractions (PVCs) within a 4 hour period post MI
The community nurse is planning a community information session about recognising and preventing heart disease to a local women's association. What should the nurse include in this presentation?
The atypical appearance of heart disease in women
Cardiovascular drug effects in men
Differences between stable and unstable angina
The purpose of cardiac rehabilitation programs
Mrs Constance McShane, 68 years, arrives in the emergency department with chest pain that stops when pharmacologic therapy is administered. Mrs McShane is admitted to the hospital for stress testing the next morning. When her daughter asks the nurse how Mrs McShane can be tested, since her mother suffers from rheumatoid arthritis and uses a rollator frame for walking, the nurse responds that:
I will notify the cardiologist in regards to your mother's decreased mobility
A radioactive compound can be injected intravenously while medications are given to cause the body to react as if it was physically stressed. You need to be aware your mother will need to remain hospitalised until the radioactivity is gone from her body
Your mother will be asked to use a machine with her upper limbs to increase her activity level to put stress on her heart
A radioactive compound can be injected intravenously while medications are given to cause the body to react as if it were physically stressed, and the blood flow can be studied
Mrs Eden Summers presented to the emergency department with sudden onset of chest pain, hypotension and shortness of breath. Mrs Summers is diagnosed with cardiogenic shock as a result of an acute myocardial infarction. Due to the evidence of pump failure, Mrs Summers has a intra-aortic balloon pump (IABP) inserted as this will:
Assist by increasing afterload and cardiac workload
Assists by inflating during systole, increasing perfusion of the coronary, cerebral and renal arteries
Assists by inflating during diastole, increasing perfusion of the coronary, cerebral and renal arteries
Support cardiac function temporarily
Ms Glenda Rogers has been admitted to the coronary care unit for monitoring, 4 hours post an acute myocardial infarction (MI). What should the nurse caring for Ms Rogers expect?
A decreased CK-MB
A decreased white cell count
A raised troponin T and troponin I
A raised haemoglobin
Mrs Penny Shore has been prescribed a statin, a drug used to treat hyperlipidaemia. What should the nurse caring for Mrs Shore assess for?
Location of apical pulse
Muscle pain
Mobility of joints
Sensory effects
After administering a prescribed anti-arrhythmic medication to Mr Graham Brown, who is experiencing an acute dysrhythmic episode, what is the priority nursing action?
Closely monitor and assess vital signs, including heart rhythm and oxygen saturations
Measure urine output
Assist the patient out of the bed to the chair
Assess abdominal sounds
Mr David Brown, aged 76 years, and his wife arrive at the emergency department at 0530 hours. Mr Brown, with a past history of stable angina, felt severe chest pain upon awakening. Mrs Brown asked the nurse how her husband could have chest pain when he wears a "nitro patch" all the time to prevent angina. The nurse explains which of the following phenomena to Mrs Brown?
Tolerance
Addiction
Prinzmetal's angina
Somogyi effect
Mr Graham Brown, aged 72 years, has a history of heart failure and is currently admitted to the surgery unit following a prostatectomy. Mr Brown experiences an acute attack of angina, and the surgical intern prescribes an intravenous dose of Verapamil. What action should the nurse take?
Contact the pharmacy to supply the drug Verapamil
Inform the surgical intern of the nurse's understanding of the Verapamil's effects prior to administration
Contact the cardiologist immediately
Prepare and give the medication as quickly as possible
Mr Henry Bonnet has returned to the coronary care unit Post Percutaneous Transluminal Coronary Revascularisation (PTCA). The nurse caring for Mr Bonnet is preparing to remove the sheath and should ensure that which of the following is at the bedside:
A. Atropine
Adenosine
Normal Saline infusion
Lignocaine
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