A client who recently had an MI is instructed to participate in cardiac rehabilitation. The client asks the nurse about the benefits of exercise in the program. How should the nurse respond?

"Exercise will help you lose weight and reduce your risk of developing diabetes."

"It improves blood flow to your heart and can help lower your blood pressure."

"Exercise is primarily for building muscle strength and improving bone health."

"It helps you cope with stress and anxiety related to your heart condition."

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because while exercise can contribute to weight loss and reduce the risk of diabetes, its primary benefit in cardiac rehabilitation is related to cardiovascular health, specifically improving blood flow to the heart and lowering blood pressure.

B) This choice is correct. Regular exercise in cardiac rehabilitation has significant benefits for the cardiovascular system. It improves blood flow to the heart muscle, enhances collateral circulation, and can help lower blood pressure, all of which are crucial in managing and preventing further complications after an MI.

C) This choice is incorrect because although exercise can help build muscle strength and improve bone health, these are not the primary benefits sought in cardiac rehabilitation. The focus is on cardiovascular health and recovery.

D) This choice is incorrect because while exercise can have positive effects on mental health, such as reducing stress and anxiety, its primary benefit in cardiac rehabilitation is related to cardiovascular health.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A) This choice is correct. Clopidogrel (Plavix) is an antiplatelet medication commonly prescribed for clients with unstable angina to prevent platelet aggregation and reduce the risk of blood clot formation in coronary arteries.

B) This choice is incorrect because nitroglycerin is a vasodilator used to relieve angina symptoms, but it does not have the antiplatelet effect necessary for managing unstable angina.

C) This choice is incorrect because atorvastatin is a statin medication used to lower cholesterol levels and prevent cardiovascular events, but it does not have the antiplatelet effect required for managing unstable angina.

D) This choice is incorrect because metoprolol is a beta-blocker used to reduce heart rate and blood pressure, but it is not an antiplatelet agent like clopidogrel.

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 recently had an MI is instructed to participate in cardiac rehabilitation. The client asks the nurse about the benefits of exercise in the program. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?

Correct Answer is A

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 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 clinical manifestation should the nurse prioritize as an early sign of MI?

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 client with unstable angina is scheduled for coronary artery bypass grafting (CABG). The client asks the nurse about the purpose of this surgery. How should the nurse respond?

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 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 is admitted with chest pain, and the nurse is assessing for clinical manifestations of myocardial infarction (MI). Which sign is characteristic of an MI but not usually seen in stable angina?

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?