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Practice Question

When caring for a client showing symptoms of coronary artery disease, what action should be the nurse’s first priority?

Answer Choices:

Correct Answer:

Enhance myocardial oxygenation.

Rationale:

✅The primary goal in managing coronary artery disease is to increase oxygen delivery to the myocardium to prevent ischemic injury.

💨Oxygenation helps reduce myocardial workload, limit infarct size, and relieve angina symptoms.

🧠While anxiety reduction and education are important, they are secondary to correcting the oxygen imbalance.

💊Medications like nitroglycerin are useful, but ensuring adequate oxygenation comes first in priority.

📌Core Message

The first priority in coronary artery disease is to enhance myocardial oxygenation to prevent further ischemia.

Want to practice more questions like this?

This question is from Heart Failure & Vascular Disease Exam-1 which contains 25 questions.

More Questions from This Exam
Which option represents a standard part of the medical management of coronary artery disease?

Answer Choices:

A. Cardiac catheterization
B. Coronary artery bypass surgery
C. Oral medication therapy
D. Percutaneous transluminal coronary angioplasty
Which laboratory value is the most specific indicator of heart muscle damage?

Answer Choices:

A. Lactate dehydrogenase
B. Complete blood count (CBC)
C. Troponin I
D. Creatine kinase (CK)
What is the main reason morphine is administered to clients experiencing an MI?

Answer Choices:

A. To sedate the client.
B. To decrease the client’s pain.
C. To decrease the client’s anxiety.
D. To decrease oxygen demand on the client’s heart.
From Exam
Heart Failure & Vascular Disease Exam-1

25 Questions

View Full Exam
Question Details
  • Category: NCLEX PN
  • Subcategory: Standalone Questions-NCLEX-PN
  • Domain: Cardiovascular Disorders NCLEX-PN
  • Answer Choices: 4
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