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If a patient develops an unstable plaque in the coronary arteries, which complication should the nurse monitor for in this patient?
Myocardial infarction.
Stable angina.
Eupnea.
Orthostatic hypotension.
The Correct Answer is A
Choice A rationale:
Unstable plaque in the coronary arteries is a major risk factor for myocardial infarction (MI), also known as a heart attack. When the plaque ruptures or becomes unstable, it can lead to the formation of a blood clot, which can obstruct the blood flow to the heart muscle, causing myocardial infarction. The nurse should monitor for signs and symptoms of MI in this patient, such as chest pain, shortness of breath, and ECG changes, to provide prompt intervention and prevent further cardiac damage.
Choice B rationale:
Stable angina is not the most immediate complication associated with unstable plaque in the coronary arteries. While stable angina is related to reduced blood flow to the heart, it is typically triggered by exertion or stress and relieved with rest or medication. Unstable plaque is more likely to lead to myocardial infarction, which is a more critical condition.
Choice C rationale:
Eupnea refers to normal, unlabored breathing and is not a complication associated with unstable plaque in the coronary arteries. It is essential to monitor the patient for cardiac-related complications, such as myocardial infarction, which can be life-threatening.
Choice D rationale:
Orthostatic hypotension, a drop in blood pressure upon standing, is not a typical complication of unstable plaque in the coronary arteries. The primary concern with unstable plaque is the risk of myocardial infarction, as it can lead to acute and severe cardiac damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
High LDL (low-density lipoprotein) levels are a well-established risk factor for atherosclerosis. Elevated LDL cholesterol can lead to the deposition of cholesterol in the arterial walls, promoting the development of atherosclerotic plaques. Typically, an LDL level above 130 mg/dL is considered high.
Choice B rationale:
Low LDL levels are generally considered beneficial and are not associated with a higher risk of atherosclerosis. Lower LDL levels can be achieved through lifestyle modifications or medication and are often recommended for cardiovascular health.
Choice C rationale:
High HDL (high-density lipoprotein) levels are associated with a lower risk of atherosclerosis. HDL is considered "good" cholesterol because it helps remove excess cholesterol from the arteries. High HDL levels are typically desirable for cardiovascular health.
Choice D rationale:
Low triglyceride levels are not a primary risk factor for atherosclerosis. Elevated triglyceride levels can be associated with metabolic syndrome and other cardiovascular risk factors, but they are not as directly linked to atherosclerosis as high LDL levels.
Correct Answer is A
Explanation
Choice A rationale:
Stable angina is characterized by chest pain or discomfort that occurs with exertion or stress and is relieved by rest. This type of angina is typically predictable and reproducible. The rationale for this choice is based on the classic presentation of stable angina, where pain is often triggered by physical activity or emotional stress and is relieved by rest. It is related to coronary artery disease (CAD) and is caused by temporary reduction in blood flow to the heart muscle due to narrowed or blocked coronary arteries. The pain is often described as a pressure or squeezing sensation in the chest and is usually predictable, occurring during specific activities or under certain circumstances.
Choice B rationale:
Chest pain that lasts more than a few hours is not typical for stable angina. Angina is characterized by transient episodes of chest pain or discomfort, typically lasting for a few minutes (usually 5-10 minutes). Prolonged chest pain may indicate a different cardiac or non-cardiac condition that requires further evaluation.
Choice C rationale:
Chest pain not relieved by nitroglycerin is not typical for stable angina. Nitroglycerin is a medication commonly used to relieve the symptoms of angina. If chest pain persists despite nitroglycerin administration, it may suggest unstable angina or another cardiac condition that requires immediate medical attention.
Choice D rationale:
Chest pain that occurs unpredictably is not typical for stable angina. Stable angina is characterized by chest pain that is predictable and reproducible, often occurring during specific activities or under certain conditions. Unpredictable chest pain is more indicative of unstable angina or acute coronary syndromes, which are associated with a higher risk of myocardial infarction.
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