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 D

Explanation

A) This choice is incorrect because while aspirin is important for clients with angina, the priority teaching point is the use of nitroglycerin for chest pain relief during angina episodes.

B) This choice is incorrect because keeping a log of triggers can be helpful for managing angina, but it is not the priority teaching point regarding the immediate relief of chest pain.

C) This choice is incorrect because limiting physical activity to avoid exertion is not the primary management strategy for angina. Moderate exercise, as tolerated, is beneficial for clients with stable angina.

D) This choice is correct. Nitroglycerin is a vasodilator that helps to relax and widen blood vessels, improving blood flow and relieving chest pain during an angina episode. Teaching the client to use nitroglycerin as needed for chest pain relief is a priority in angina management.

A. "Coronary angiography will measure the levels of cardiac biomarkers in your blood." B. "It is a stress test that evaluates your heart's response to increased demand." C. "The test involves injecting dye into your coronary arteries to visualize any blockages." D. "Coronary angiography will assess your heart's function using sound waves."

Correct Answer is C

Explanation

A) This choice is incorrect because measuring the levels of cardiac biomarkers in the blood is not the purpose of coronary angiography. Cardiac biomarkers are measured through blood tests to diagnose conditions like myocardial infarction (MI).

B) This choice is incorrect because a stress test evaluates the heart's response to increased demand and is different from coronary angiography.

C) This choice is correct. Coronary angiography is an invasive procedure that involves injecting a contrast dye into the coronary arteries. The dye allows visualization of the coronary arteries and identifies any blockages or narrowing that may be causing angina or other cardiac symptoms.

D) This choice is incorrect because assessing the heart's function using sound waves is characteristic of an echocardiogram, not coronary angiography.

Questions

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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 nurse is providing education to a client with angina pectoris. What is the nurse's priority teaching point about managing angina episodes?

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

A client with angina pectoris is prescribed sublingual nitroglycerin tablets. What instructions should the nurse provide about taking nitroglycerin?

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 client who recently had a myocardial infarction (MI) is scheduled to start a cardiac rehabilitation program. The client asks the nurse about the purpose of this program. How should the nurse respond?

A client who had an acute myocardial infarction (MI) is scheduled for percutaneous coronary intervention (PCI). The client asks the nurse about the purpose of this procedure. How should the nurse respond?

A nurse is assessing a client with suspected myocardial infarction (MI). Which clinical manifestation should the nurse prioritize as an early sign of MI?

A client asks the nurse about the risk factors for developing angina pectoris. What should the nurse include as a modifiable risk factor for angina?

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 caring for a client admitted with myocardial infarction (MI). The client's blood pressure drops, and the client becomes restless and anxious. What intervention should the nurse initiate first?