A client who had an acute myocardial infarction (MI) is scheduled for percutaneous coronary intervention (PCI). The client asks the nurse about the purpose of this procedure. How should the nurse respond?
"PCI is used to relieve chest pain and reduce inflammation in your heart muscle."
"It involves the placement of a stent in your coronary artery to keep it open and improve blood flow to your heart."
"PCI will help lower your blood pressure and improve your heart's pumping function."
"It is a surgical procedure to bypass blocked coronary arteries and restore blood flow to your heart."
The Correct Answer is B
A) This choice is incorrect because while PCI can indirectly relieve chest pain by restoring blood flow to the heart, its primary purpose is not to reduce inflammation in the heart muscle.
B) This choice is correct. Percutaneous coronary intervention (PCI) involves the insertion of a catheter with a balloon at the tip into the blocked coronary artery. The balloon is inflated to compress the plaque and open the artery, and then a stent is placed to keep the artery open and improve blood flow to the heart.
C) This choice is incorrect because PCI's primary purpose is not to lower blood pressure but to restore blood flow to the heart by treating coronary artery blockages.
D) This choice is incorrect because the description provided is more characteristic of coronary artery bypass grafting (CABG) surgery, not PCI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because sublingual nitroglycerin should not be swallowed with water. It is intended to dissolve under the tongue for rapid absorption into the bloodstream to provide quick relief from chest pain.
B) This choice is incorrect because the timing of nitroglycerin administration is not dependent on meals. Sublingual nitroglycerin should be taken as needed when chest pain occurs.
C) This choice is correct. Sublingual nitroglycerin is administered by placing the tablet under the tongue, where it dissolves and is absorbed directly into the bloodstream. This method allows for rapid onset of action and is used to relieve acute chest pain.
D) This choice is incorrect because sublingual nitroglycerin is not meant for daily or preventive use. It is specifically used to treat acute episodes of chest pain (angina) and should be taken only when needed. Clients with angina may be prescribed long-acting nitroglycerin preparations for prophylactic use, but sublingual nitroglycerin is intended for immediate relief of anginal symptoms.
Questions
Correct Answer is C
Explanation
A) This choice is incorrect because nuts and seeds are sources of healthy fats and can be beneficial for heart health when consumed in moderation.
B) This choice is incorrect because avocado and olive oil are sources of monounsaturated fats, which are considered heart-healthy fats. They can be included in a heart-healthy diet.
C) This choice is correct. Saturated fats, commonly found in fatty cuts of red meat and butter, are known to increase LDL cholesterol levels and should be limited in a heart-healthy diet to reduce the risk of future cardiovascular events.
D) This choice is incorrect because whole grains and legumes are sources of complex carbohydrates and plant-based proteins that can be part of a heart-healthy diet. They provide essential nutrients and fiber that are beneficial for heart health.
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