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?
"Aspirin helps dilate your coronary arteries and increase blood flow to your heart."
"It prevents blood clot formation and reduces the risk of further blockages in your coronary arteries."
"Aspirin lowers your blood pressure and helps your heart pump more efficiently."
"It is used to relieve chest pain and reduce inflammation in your heart muscle."
The Correct Answer is B
A) This choice is incorrect because aspirin does not directly dilate coronary arteries. Aspirin's primary action in MI management is its antiplatelet effect, which prevents platelets from clumping together and forming blood clots in coronary arteries, reducing the risk of further blockages.
B) This choice is correct. Aspirin is commonly prescribed during an acute MI to prevent blood clot formation and reduce the risk of further blockages in the coronary arteries. It is a crucial medication in the management of acute coronary syndrome.
C) This choice is incorrect because aspirin's primary action is not to lower blood pressure or improve cardiac pumping efficiency. These actions are typically achieved through other medications, such as beta-blockers or ACE inhibitors, in the management of MI.
D) This choice is incorrect because while aspirin is used to relieve pain and reduce inflammation, its primary role in MI management is its antiplatelet effect, as mentioned earlier.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while rest is essential during an angina episode, lying down in bed for an extended period is not necessary after administering nitroglycerin.
B) This choice is incorrect because monitoring blood pressure and heart rate every 15 minutes is not a standard nursing intervention after nitroglycerin administration. Monitoring vital signs as needed for the client's condition is appropriate.
C) This choice is incorrect because there is no need for the client to avoid drinking water or fluids after taking sublingual nitroglycerin.
D) This choice is correct. After taking sublingual nitroglycerin for chest pain relief, the client should sit or lie down and avoid sudden position changes. Nitroglycerin can cause systemic vasodilation and may lead to orthostatic hypotension, increasing the risk of dizziness or falls if the client stands up abruptly. Taking a seated or lying position reduces this risk and allows the medication to work effectively to relieve chest pain.
Correct Answer is A
Explanation
A) This choice is correct. Engaging in regular physical activity and maintaining a healthy weight are effective strategies for reducing the risk of MI. Physical activity helps improve cardiovascular health, manage weight, and reduce other risk factors like hypertension and diabetes.
B) This choice is incorrect because while limiting saturated fat intake is important for heart health, it is not the most effective approach to lower the risk of MI when compared to engaging in physical activity and maintaining a healthy weight.
C) This choice is incorrect because quitting smoking and reducing alcohol consumption are essential for reducing the risk of MI, but they may not be as effective as regular physical activity and weight management.
D) This choice is incorrect because controlling stress through relaxation techniques and counseling is beneficial for overall well-being, but it may not be the most effective approach to reduce the risk of MI when compared to regular physical activity and weight management. Stress management is still an important aspect of cardiovascular health, but it should be combined with other lifestyle changes for optimal risk reduction.
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