(1 point). Listen.
A nurse is providing care to a patient with coronary artery disease.
The nurse knows that the most common cause of this condition is:.
Myocarditis.
Hypoglycemia.
Atherosclerosis.
Vasospasm.
The Correct Answer is C
Choice A rationale:
Myocarditis is not the most common cause of coronary artery disease (CAD). Myocarditis is an inflammation of the heart muscle, often caused by viral infections or autoimmune reactions. While myocarditis can lead to heart-related symptoms, it is not the primary cause of CAD.
Choice B rationale:
Hypoglycemia is not the most common cause of CAD. Hypoglycemia refers to low blood sugar levels and is not a direct cause of CAD. However, unstable blood sugar levels can affect cardiovascular health, but atherosclerosis remains the primary underlying cause of CAD.
Choice C rationale:
Atherosclerosis is the most common cause of coronary artery disease (CAD). Atherosclerosis is a condition in which the walls of the arteries become clogged with fatty deposits, leading to the narrowing of the arteries. This narrowing restricts blood flow to the heart muscle, resulting in the characteristic symptoms of CAD, such as angina and heart attacks. Atherosclerosis is a major risk factor for CAD and is influenced by factors like high blood pressure, high cholesterol levels, smoking, and diabetes.
Choice D rationale:
Vasospasm is not the most common cause of CAD. Vasospasm, also known as coronary artery vasospasm or Prinzmetal's angina, is a condition characterized by transient, sudden narrowing of the coronary arteries. While it can lead to chest pain similar to angina, it is not as common as atherosclerosis in causing CAD. Vasospasm is often associated with certain triggers, such as smoking or drug use, and may occur in addition to atherosclerosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Subendocardial MI typically involves the inner layer of the heart muscle and may not result in marked ST segment elevation. This is not the best choice.
Choice B rationale:
Transmural MI, also known as a full-thickness or ST-elevation myocardial infarction (STEMI), is characterized by marked ST segment elevation on the ECG. This is the correct choice because it accurately describes the scenario in the question.
Choice C rationale:
"Cardial" is not a recognized term in the context of myocardial infarctions. This choice is not appropriate.
Choice D rationale:
"Transient" does not describe the type of MI but rather suggests a temporary or reversible condition. It is not the best choice.
Correct Answer is C
Explanation
Choice A rationale:
The client with bipolar disorder speaking loudly may be experiencing a manic episode, but this doesn't represent an immediate physical concern. There's no indication of a medical emergency here.
Choice B rationale:
Olfactory hallucinations in a client with schizophrenia are concerning, but it doesn't necessarily indicate an immediate physical issue that requires urgent attention.
Choice C rationale:
A client taking clozapine and reporting a sore throat is of immediate concern because clozapine is associated with a risk of agranulocytosis, a potentially life-threatening condition that can manifest as a sore throat. Monitoring for this side effect is crucial.
Choice D rationale:
While weight gain in a client taking lithium should be monitored, it's not an acute issue that requires immediate attention.
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