10 Nursing Care and Pathophysiology of Coronary Artery Disease (CAD) NCLEX Questions

Question 1 of 10

A nurse is giving education to a group on heart disease. The nurse knows that which of the following is most important to include in education?

    Question 2 of 10

    The nurse on a post-surgical nursing unit is caring for a client who had a colectomy two days ago and a history of CAD. The vital signs suddenly change. Current vital signs include a BP decreased to 84/48 and a HR increase to 110. The client is short of breath and complains of chest pain. What should be done first?

      Question 3 of 10

      The nurse is caring for a client with coronary artery disease. The nurse anticipates which orders to treat the disease? Select all that apply.

        Question 4 of 10

        A client with a history of coronary artery disease and diabetes has complaints of chest pain that does not go away when resting. The organization has a chest pain protocol for nurses that starts with obtaining an EKG. Which of the following actions should the nurse take?

          Question 5 of 10

          A client on the cardiac unit complains of chest pain to the nurse. The nurse calls a rapid response and the healthcare provider arrives in the room. Vital signs are as follows: Blood pressure 182/98 HR 98 Respirations 23 Temperature 98.9 The nurse orders a STAT EKG per protocol, which shows a widened ST segment. Which of the following interventions should the nurse implement first?

            Question 6 of 10

            A nurse assigned to four clients is receiving report. The nurse knows that the client with which of the following is the most at risk for developing coronary artery disease?

              Question 7 of 10

              A client has been diagnosed with atherosclerosis and suffers intermittent episodes of angina. He has started in a cardiac rehabilitation program and the nurse is helping him develop coping mechanisms that would most likely help him with accepting his situation. Which intervention would the nurse use to help the client develop coping mechanisms in this situation?

                Question 8 of 10

                The nurse is discharging a client being treated for hyperlipidemia and hypertension. The client smokes occasionally to decrease stress from work and has just been diagnosed with coronary artery disease. Which of the following client education topics should the nurse include? Select all that apply.

                  Question 9 of 10

                  A 64-year-old client has a history of heart disease and clinical depression. Following his stay at the hospital, the nurse talks with the client about attending cardiac rehabilitation. Which statement by the nurse is correct?

                    Question 10 of 10

                    CardioNetworks: Googletrans / CC BY-SA (https://creativecommons.org/licenses/by-sa/3.0)
                    CardioNetworks: Googletrans / CC BY-SA (https://creativecommons.org/licenses/by-sa/3.0)

                    The nurse observes the rhythm pictured on an EKG monitor and knows to implement which of the following first?

                      Lastly, what email should we send your results to?

                      Nursing care for patients with coronary artery disease (CAD) is focused on managing the underlying pathology and promoting heart health. CAD occurs when plaque builds up in the coronary arteries, leading to narrowed arterial passages and impaired blood flow to the heart. As nurses, our primary goal is to assess, prevent, and manage CAD effectively. Assessment plays a pivotal role in nursing care for CAD patients. Nurses should be vigilant in recognizing the signs and symptoms of CAD, such as chest pain, arrhythmias, shortness of breath, and elevated blood pressure. Electrocardiograms (EKGs), cholesterol levels, CT scans, angiograms, and stress tests are essential diagnostic tools ordered by physicians to evaluate the extent of vessel occlusion and stenosis. Through comprehensive assessment, nurses can aid in the early detection and timely intervention of CAD, potentially preventing life-threatening complications like acute coronary syndrome. coronary artery disease nclex review for nursing students image of progress Therapeutic management of CAD involves a combination of medications and procedures aimed at reducing plaque buildup, improving blood flow, and minimizing the risk of clot formation. This includes the administration of cholesterol-lowering medications like statins, anticoagulants to prevent blood clotting, beta blockers to decrease the heart's workload, calcium channel blockers to relax vessels, and nitroglycerin to alleviate chest pain. Additionally, nurses play a critical role in supporting patients undergoing interventions such as angioplasty, stent placement, or coronary artery bypass surgery. Educating patients on lifestyle modifications, smoking cessation, regular exercise, a heart-healthy diet, stress management, and diabetes control is essential to long-term CAD management and prevention. By providing comprehensive care and education, nurses empower patients to take an active role in managing their CAD and reducing the risk of cardiac events.