A client who has chronic stable angina is being discharged. Which statement by the client indicates an understanding of the discharge teaching?

I should not experience chest pain since I am on aspirin therapy.

The chest pain is caused by a spasm in my heart.

Each time I have chest pain, my heart is damaged more.

I should hire someone to shovel snow in the winter.

Answer and Explanation

The Correct Answer is D

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Correct Answer is D

Explanation

Choice A reason: This is incorrect. Traveling to cities where the oxygen level is lower, such as high-altitude areas, can trigger a sickle cell crisis by reducing the amount of oxygen in the blood. People with sickle cell anemia should avoid such places or take precautions such as using supplemental oxygen¹².

Choice B reason: This is incorrect. Strenuous exercise does not prevent sickle cell crisis, but rather can cause it by increasing the body's oxygen demand and dehydration. People with sickle cell anemia should avoid overexertion and rest frequently during physical activity¹³.

Choice C reason: This is incorrect. Flying on commercial airlines is not prohibited for people with sickle cell anemia, as long as they stay hydrated and avoid alcohol and caffeine. However, some people may need to use supplemental oxygen during flights, especially if they have a history of acute chest syndrome or pulmonary hypertension¹⁴.

Choice D reason: This is correct. Drinking plenty of fluids when outside in hot weather is important for people with sickle cell anemia, as dehydration can cause the red blood cells to sickle and block blood vessels. Staying hydrated can help prevent or reduce the severity of sickle cell crises¹⁵.

A. Cholesterol 200 mg/dL; HDL 35 mg/dL; triglycerides 190 mg/dL B. Cholesterol 120 mg/dL; HDL 50 mg/dL; triglycerides 140 mg/dL C. Cholesterol 180 mg/dL; HDL 40 mg/dL; triglycerides 220 mg/dL D. Cholesterol 165 mg/dL; HDL 54 mg/dL; triglycerides 160 mg/dL

Correct Answer is C

Explanation

Choice A reason: This option is not correct because the cholesterol level is within the normal range of less than 200 mg/dL¹, the HDL level is slightly low but not too far from the recommended level of over 40 mg/dL for men and over 50 mg/dL for women¹, and the triglyceride level is also within the normal range of less than 150 mg/dL¹. Therefore, this set of laboratory results does not indicate a need for dietary modifications.

Choice B reason: This option is not correct because the cholesterol level is low, the HDL level is high, and the triglyceride level is normal. These are all desirable results that reflect a low risk of coronary artery disease¹. Therefore, this set of laboratory results does not indicate a need for dietary modifications.

Choice C reason: This option is correct because the cholesterol level is high, the HDL level is low, and the triglyceride level is high. These are all unfavorable results that reflect a high risk of coronary artery disease¹. High cholesterol and triglycerides can lead to plaque buildup in the arteries, which can cause atherosclerosis and reduce blood flow to the heart². Low HDL can also increase the risk of heart disease because it does not help remove LDL (bad cholesterol) from the arteries². Therefore, this set of laboratory results indicates a need for dietary modifications, such as reducing saturated and trans fats, increasing fiber, and limiting alcohol³.

Choice D reason: This option is not correct because the cholesterol level is normal, the HDL level is high, and the triglyceride level is normal. These are all desirable results that reflect a low risk of coronary artery disease¹. Therefore, this set of laboratory results does not indicate a need for dietary modifications..

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A client who has chronic stable angina is being discharged. Which statement by the client indicates an understanding of the discharge teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should instruct a young female adult with sickle cell anemia to do which of the following?

Correct Answer is D

Explanation

The nurse is reviewing the laboratory data of a client diagnosed with coronary artery disease. Which set of laboratory results indicates a need for client teaching regarding dietary modifications?

Correct Answer is C

Explanation

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