A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

"A weight loss program will increase my LDL cholesterol levels."

"Exercising regularly will bring down my HDL cholesterol levels."

"Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease."

"Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease."

Answer and Explanation

The Correct Answer is D

A. "A weight loss program will increase my LDL cholesterol levels." Weight loss typically reduces LDL (low-density lipoprotein) cholesterol levels, which lowers the risk of heart disease.

B. "Exercising regularly will bring down my HDL cholesterol levels." Regular exercise actually helps increase HDL (high-density lipoprotein) cholesterol levels, which is beneficial as HDL helps remove excess cholesterol from the bloodstream.

C. "Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease." Trans fats raise LDL cholesterol and lower HDL cholesterol, which significantly increases the risk of coronary artery disease.

D. "Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease." Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) are heart-healthy fats that help lower triglyceride levels and reduce inflammation, thereby reducing the risk of coronary artery disease. This statement shows correct understanding.

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Correct Answer is D

Explanation

A. "You should expect to feel some tingling in the affected limb the day following the procedure." Tingling in the limb could indicate nerve or circulatory problems and should be reported immediately. It is not a normal post-procedure expectation.

B. "You might be asked to perform mild exercises during the procedure." Clients are typically instructed to remain still during a cardiac catheterization to avoid complications at the insertion site. Mild exercises are not a part of the procedure.

C. "You should not eat or drink for 4 hr following the procedure." NPO (nothing by mouth) status is usually required before the procedure, not after. Clients are encouraged to drink fluids after the procedure to help flush the contrast dye from their system.

D. "You might have to lie in bed for 6 hr after the procedure." After a cardiac catheterization, especially with a femoral artery approach, clients may be required to remain on bed rest for 4-6 hours to prevent bleeding or complications at the catheter insertion site.

A. Hypertension stage 2 B. Elevated or Prehypertension C. Hypertension stage 1 D. Within the expected reference range

Correct Answer is B

Explanation

A. Hypertension stage 2: Hypertension stage 2 is defined as a systolic blood pressure ≥140 mm Hg or diastolic ≥90 mm Hg. The client’s reading of 124/74 mm Hg does not fall into this category.

B. Elevated or Prehypertension: A systolic blood pressure between 120-129 mm Hg and a diastolic <80 mm Hg is classified as elevated or prehypertension. The client’s systolic BP of 124 mm Hg places him in this category.

C. Hypertension stage 1: Hypertension stage 1 is defined as a systolic BP between 130-139 mm Hg or diastolic BP between 80-89 mm Hg. The client’s BP of 124/74 mm Hg does not meet this criterion.

D. Within the expected reference range: The normal range for blood pressure is less than 120/80 mm Hg. The client’s BP of 124/74 mm Hg is slightly elevated and does not fall within the expected reference range.

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A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing instructions with a client who is scheduled for a cardiac catheterization with angiography. Which of the following statements should the nurse include in the instructions?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/74 mm Hg places him in which of the following categories or stages?

Correct Answer is B

Explanation

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