John Miller, a 65-year old patient, was referred to the cardiologist's office for an evaluation. The patient had recently started an exercise program for weight loss. For the last 3 weeks, following exercise, he had noticed radiating chest pain (angina pectoris) that stopped after rest. This condition had worsened in the last week. The cardiologist ordered a stress echocardiogram. The stress echo results suggested that the patient had coronary artery disease. The patient was scheduled for a cardiac catheterization the next morning. It was noted in the patient's chart that he smoked two packs of cigarettes per day.What is the abbreviation for coronary artery disease?What symptoms suggest that this patient is suffering from coronary artery disease and not some other disorder?Why is it important to test the heart under stress rather than obtaining a resting echocardiogram?Why is a cardiac catheterization needed in addition to the stress echo?What lifestyle changes should the patient make to prevent further heart attacks?Answer these five questions about community measures in a properly APA formatted Word document.

Mandatory: Use discussion thread in week 1 to discuss your PICOT question. Question requires faculty approval. Deadline for approval is Friday. The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the "Literature Evaluation Table" to complete this assignment. I have attached it.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.