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 B

Explanation

A) This choice is incorrect because while cardiac rehabilitation may have cardiovascular benefits, its primary focus is on promoting overall heart health and reducing the risk of future heart attacks through lifestyle changes and education.

B) This choice is correct. Cardiac rehabilitation is a comprehensive program that aims to improve the overall cardiovascular health of individuals who have experienced a myocardial infarction or other heart conditions. It involves a combination of exercise, education, and counseling to support lifestyle changes that promote heart health and prevent future cardiovascular events.

C) This choice is incorrect because while psychological counseling may be a part of the cardiac rehabilitation program, it is not the primary purpose. The main focus is on physical and lifestyle aspects to improve cardiovascular health.

D) This choice is incorrect because cardiac rehabilitation does involve physical exercise, but the primary goal is not to improve lung function and oxygenation. Instead, it aims to improve cardiovascular endurance, strength, and overall heart health.

A. Sharp, stabbing chest pain. B. Chest pain relieved by rest and nitroglycerin. C. Sudden, severe chest pain radiating to the back. D. Mild, intermittent chest discomfort during activity.

Correct Answer is C

Explanation

A) This choice is incorrect because sharp, stabbing chest pain is not the typical presentation of an acute MI. It is more common in conditions like pleuritis or pneumothorax.

B) This choice is incorrect because chest pain relieved by rest and nitroglycerin is more characteristic of stable angina, not an acute MI. Acute MI pain is typically not relieved by these measures.

C) This choice is correct. Sudden, severe chest pain that radiates to the back is a classic presentation of an acute myocardial infarction. The pain is often described as crushing or pressure-like and may be accompanied by other symptoms such as shortness of breath, diaphoresis, and nausea.

D) This choice is incorrect because mild, intermittent chest discomfort during activity is more typical of stable angina, not an acute MI. Acute MI pain is usually more severe, prolonged, and occurs at rest or with minimal exertion.

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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 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?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

A client with unstable angina is prescribed heparin therapy. The client asks the nurse about the purpose of this medication. How should the nurse respond?

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?

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 comes to the emergency department with chest pain, and the nurse suspects a myocardial infarction (MI). What is the priority action for the nurse?

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

A client with angina pectoris is receiving sublingual nitroglycerin for chest pain relief. After administering the medication, what should the nurse instruct the client to do?

A client with acute myocardial infarction (MI) is prescribed aspirin. The client asks the nurse about the purpose of this medication. How should the nurse respond?

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?