A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

"Switch to e-cigarettes or vaping as a less harmful alternative to smoking."

"Gradually decrease the number of cigarettes you smoke each day."

"Consider nicotine replacement therapy, such as patches or gum, to manage cravings."

"Set a quit date and avoid situations or triggers that make you want to smoke."

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because e-cigarettes and vaping are not considered safe alternatives to smoking and are not recommended as a way to quit smoking. They can also pose health risks to the cardiovascular system.

B) This choice is incorrect because gradually decreasing cigarette intake may not be as effective as setting a quit date and quitting smoking altogether.

C) This choice is incorrect because while nicotine replacement therapy (NRT) can be helpful for some individuals in managing cravings during the quitting process, it is not the primary recommendation. Avoiding triggers and setting a quit date are essential strategies for successful smoking cessation.

D) This choice is correct. Setting a quit date is an effective approach to quitting smoking. It allows individuals to mentally prepare for the change and commit to the process. Avoiding situations or triggers that may lead to smoking is also crucial for breaking the habit and preventing relapse.

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Correct Answer is C

Explanation

A) This choice is incorrect because beta-blockers do not directly dilate blood vessels. They primarily work by blocking the effects of adrenaline on the heart and blood vessels, leading to decreased heart rate and reduced blood pressure.

B) This choice is incorrect because beta-blockers do not directly affect cholesterol levels or prevent the formation of plaques in arteries. Their primary action is on the cardiovascular system, particularly the heart and blood pressure.

C) This choice is correct. Beta-blockers are commonly prescribed after an MI to reduce the workload of the heart and lower blood pressure. By blocking the effects of adrenaline, they help slow down the heart rate and reduce the force of contraction, thereby decreasing myocardial oxygen demand and improving the heart's efficiency.

D) This choice is incorrect because beta-blockers do not directly prevent blood clot formation in coronary arteries. Anticoagulant or antiplatelet medications are used to reduce the risk of clot formation in individuals at high risk for recurrent heart attacks.

A. To reduce heart rate and blood pressure. B. To dissolve existing blood clots in coronary arteries. C. To stabilize the heart's electrical activity. D. To improve oxygen supply to the heart muscle.

Correct Answer is B

Explanation

A) This choice is incorrect because fibrinolytic therapy is not used to reduce heart rate and blood pressure. Its primary purpose is to dissolve blood clots that are causing the myocardial infarction.

B) This choice is correct. Fibrinolytic therapy, also known as thrombolytic therapy, is used to break down existing blood clots in coronary arteries during an ST-elevation myocardial infarction (STEMI). By dissolving the clot, blood flow to the heart muscle can be restored and prevent further damage.

C) This choice is incorrect because stabilizing the heart's electrical activity is not the primary purpose of fibrinolytic therapy. It is used to address the mechanical obstruction caused by the clot in coronary arteries.

D) This choice is incorrect because although fibrinolytic therapy does improve blood flow to the heart muscle by dissolving clots, its primary purpose is not to improve oxygen supply directly. Rather, it aims to restore blood flow by eliminating the clot causing the infarction.

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A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who experienced an MI is prescribed beta-blocker medication. The client asks the nurse about the purpose of this medication. How should the nurse respond?

Correct Answer is C

Explanation

A client with ST-elevation myocardial infarction (STEMI) is admitted to the emergency department. The healthcare provider orders fibrinolytic therapy. What is the primary purpose of fibrinolytic therapy in this situation?

Correct Answer is B

Explanation

A nurse is providing education to a client who recently had an MI about the importance of medication adherence. The client expresses concerns about potential side effects of the prescribed medications. What should the nurse do to address the client's concerns effectively?

A nurse is teaching a client about the pathophysiology of myocardial infarction (MI). What is the primary cause of MI?

A client with suspected angina pectoris is scheduled for a coronary angiography. The client asks the nurse about the purpose of the test. How should the nurse respond?

A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

A nurse is providing education to a client who recently had an MI about dietary changes to improve heart health. The nurse advises the client to limit intake of saturated fats. Which food choices should the client avoid to comply with this recommendation?

A nurse is assessing a client with suspected myocardial infarction (MI). Which assessment finding is most indicative of an acute MI?

A nurse is caring for a client with a confirmed myocardial infarction (MI) and a history of congestive heart failure (CHF). The client is prescribed a medication to reduce myocardial oxygen demand. Which medication should the nurse expect to administer?

A nurse is educating a group of clients about the risk factors for myocardial infarction (MI). Which risk factor is considered a non-modifiable risk factor for MI?