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Distended jugular veins

Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates:

Myocardial infarction

A cardiac/vascular nurse reviews recommended activities with a patient who sustained a myocardial infarction. The patient states, “It doesn’t really matter what I do or don’t do. I will either get better or die.” This statement reflects:

Outpatient cardiac rehabilitation

A patient who is in the 10th week of outpatient cardiac rehabilitation continues to exhibit symptoms of depression. When developing a discharge plan, the cardiac/vascular nurse includes:

Patient’s four-week diet history

When reviewing a patient’s four-week diet history, a cardiac/vascular nurse identifies a pattern of high calorie intake on Monday, Wednesday, and Friday nights. The patient states that the patient’s spouse recently started taking a night class on those evenings at…

Percutaneous, transluminal coronary angioplasty

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…

Thrombolytic therapy

Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?

Myocardial infarction (MI)

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:

Swollen and painful leg

A patient comes to the emergency department with reports of a swollen and painful leg but denies sustaining any injury. Physical examination reveals a tense calf muscle, decreased sensation to the foot and leg, and absent pedal pulses. The cardiac/vascular…

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