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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 B
Explanation
Choice A rationale:
Chorea is a movement disorder that can be seen in some cases of acute rheumatic fever, but it is not the result of an abnormal immune response to group A streptococcal cell membrane antigens. Chorea is characterized by involuntary, rapid, and irregular movements.
Choice C rationale:
C-reactive protein is a marker of inflammation and can be elevated in acute rheumatic fever, but it is not the primary cause of the condition. Acute rheumatic fever is an autoimmune response to group A streptococcal infection, and M proteins play a significant role in its pathophysiology.
Choice D rationale:
Streptolysin O is a toxin produced by some streptococcal bacteria but is not the primary cause of acute rheumatic fever. It can, however, contribute to the overall inflammatory response in certain cases.
Correct Answer is C
Explanation
Choice A rationale:
Choice A is not the answer. Hypertension refers to high blood pressure and is not the term used to describe insufficient coronary blood flow to meet the metabolic demands of myocytes. Therefore, this statement is not relevant to the scenario described.
Choice B rationale:
Choice B is not the answer. Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. It is not the term used to describe insufficient coronary blood flow. Therefore, this statement is not relevant in this context.
Choice C rationale:
The correct answer is choice C. Myocardial ischemia is the term used to describe insufficient coronary blood flow to meet the metabolic demands of myocytes. Myocardial ischemia occurs when the heart muscle (myocardium) does not receive enough blood and oxygen to function properly, which can lead to chest pain or angina. This term accurately describes the scenario provided in the question.
Choice D rationale:
Choice D is not the answer. Diuresis refers to increased urine production and is not the term used to describe insufficient coronary blood flow. Therefore, this statement is not relevant in this context.
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