A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI) insists on going home. The cardiac-vascular nurse encourages the patient to be admitted because the greatest risk within the first 24 hours of sustaining an MI is:  heart failure.  pulmonary embolism.  ventricular aneurysm.  ventricular fibrillation.

Cardiac-Vascular Nursing

A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit. Examination reveals lungs that are clear to auscultation and slight pedal edema. The patient’s medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin. The patient reports a […]

In an assessment for intermittent claudication, the cardiac-vascular nurse assesses for leg pain and cramping with exertion, then asks the patient:  “Does shortness of breath accompany the leg pain?”  “Does this same type of pain occur without activity?”  “Is the leg pain relieved by rest?”  “Is the leg pain relieved with elevation?”