. A nurse is discussing management of hypertension with a patient. Which patient statement indicates that additional teaching about the relationship between hypertension and acute coronary syndrome (ACS) is needed?
"Controlling my blood pressure will decrease my risk of having a heart attack to some degree."
"Because I'm over 80, even a 20 mm Hg drop in my blood pressure can reduce my risk."
"High blood pressure will increase my body's need for oxygen and increase my heart's workload."
"My high blood pressure has no relationship to the severity of heart disease or its outcomes."
The Correct Answer is D
A. "Controlling my blood pressure will decrease my risk of having a heart attack to some degree." This statement is accurate. Controlling blood pressure reduces the risk of developing ACS.
B. "Because I'm over 80, even a 20 mm Hg drop in my blood pressure can reduce my risk." Research indicates that even modest reductions in blood pressure can significantly lower the risk of cardiovascular events, especially in older adults.
C. "High blood pressure will increase my body's need for oxygen and increase my heart's workload." High blood pressure increases myocardial oxygen demand and can lead to ischemia, which is a precursor to ACS.
D. "My high blood pressure has no relationship to the severity of heart disease or its outcomes." This statement is false. High blood pressure is a major risk factor for heart disease, including ACS, and it directly affects the severity and outcomes of heart disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Now you can eat whatever you want": This is incorrect and dangerous advice. Lifestyle changes, including diet, are crucial for preventing the progression of coronary artery disease even after a CABG.
B. "A CABG is not a cure - It may improve your quality of life": This response educates the patient that while CABG can relieve symptoms and improve quality of life, it does not cure the underlying disease. Continued management and lifestyle changes are essential.
C. "I am happy for you": While this might express empathy, it does not provide the necessary education or correction of the patient’s misconception about CABG.
D. "A CABG is not a cure - but now you can stop taking your medications": This is incorrect. Most patients will need to continue taking medications such as antiplatelets, statins, and antihypertensives to manage their condition post-CABG.
Correct Answer is C
Explanation
A. Monitoring of results of liver function testing: While important, monitoring liver function tests is a routine assessment rather than a prioritized one compared to assessing for complications like ascites.
B. Assessment for signs and symptoms of jaundice: Jaundice is a common finding in cirrhosis but does not necessarily indicate an acute complication.
C. Measurement of abdominal girth and body weight: In advanced cirrhosis, monitoring for ascites and fluid retention is critical as these indicate worsening disease and potential complications.
D. Assessment for variceal bleeding: Incorrect. While important, the priority in routine assessment is monitoring for ascites and fluid overload, which can be managed more readily.
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