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 PCI can indirectly relieve chest pain by restoring blood flow to the heart, its primary purpose is not to reduce inflammation in the heart muscle.

B) This choice is correct. Percutaneous coronary intervention (PCI) involves the insertion of a catheter with a balloon at the tip into the blocked coronary artery. The balloon is inflated to compress the plaque and open the artery, and then a stent is placed to keep the artery open and improve blood flow to the heart.

C) This choice is incorrect because PCI's primary purpose is not to lower blood pressure but to restore blood flow to the heart by treating coronary artery blockages.

D) This choice is incorrect because the description provided is more characteristic of coronary artery bypass grafting (CABG) surgery, not PCI.

A. "The chest pain is caused by an irregular heart rhythm." B. "The coronary arteries are narrowed, reducing blood flow to the heart muscle." C. "There is inflammation in the lining of the heart, leading to chest discomfort." D. "The heart muscle is overworking, causing temporary oxygen deprivation."

Correct Answer is B

Explanation

A) This choice is incorrect because chest pain caused by an irregular heart rhythm is more characteristic of arrhythmias, not angina pectoris.

B) This choice is correct. Angina pectoris is caused by the narrowing of the coronary arteries due to atherosclerotic plaques, leading to reduced blood flow to the heart muscle during periods of increased demand (e.g., physical exertion, stress).

C) This choice is incorrect because inflammation in the lining of the heart is associated with conditions like pericarditis or myocarditis, not angina pectoris.

D) This choice is incorrect because chest pain caused by the heart muscle overworking is more typical of conditions like heart failure, not angina pectoris.

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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 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?

Correct Answer is B

Explanation

A client with a history of angina pectoris asks the nurse about the underlying cause of the chest pain. What should the nurse explain to the client?

Correct Answer is B

Explanation

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 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 angina pectoris reports chest pain and is receiving oxygen therapy. The client asks the nurse about the purpose of oxygen administration. How should the nurse respond?

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 with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?

A client with multiple risk factors for myocardial infarction (MI) asks the nurse how to lower the risk. What should the nurse recommend as the most effective approach?

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 caring for a client experiencing chest pain and suspecting myocardial infarction (MI). What is the priority nursing intervention during the initial assessment?