A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?

Limit alcoholic beverages to 3 a day.

Increase intake of saturated fats.

Exercise 30 minutes a week.

Maintain a BMI less than 25.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Limiting alcoholic beverages is important for heart health, but the recommended limit is typically lower than 3 drinks per day, especially for individuals with cardiac myopathy.

B. Increasing intake of saturated fats can exacerbate heart disease and increase the risk of angina episodes. The recommendation is usually to limit saturated fat intake.

C. Regular exercise is beneficial for heart health, but 30 minutes a week may not be sufficient for preventing angina episodes. The recommendation is typically at least 150 minutes of moderate- intensity aerobic exercise per week.

D. Maintaining a BMI (Body Mass Index) less than 25 is important for managing cardiac myopathy and preventing angina episodes. Excess weight can put strain on the heart and exacerbate heart disease.

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Correct Answer is B

Explanation

Rationale:

A. Hemoptysis (coughing up blood) is not a common or expected side effect of warfarin therapy.

It may indicate a serious complication and should be reported to a healthcare provider immediately.

B. Warfarin increases the risk of bleeding, so it is important for the client to avoid activities or clothing that may increase the risk of injury or bleeding, such as tight or restrictive clothing.

C. Epistaxis (nosebleeds) can occur as a side effect of warfarin therapy due to its anticoagulant effects. While it is a potential side effect, it is not an expected outcome and should be reported to the healthcare provider.

D. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided while taking warfarin because they can increase the risk of bleeding due to their antiplatelet effects. If a headache occurs, the client should consult their healthcare provider for appropriate pain management options.

A. I should take this medication before going to bed. B. I should take one tablet at the first indication of chest pain. C. I should take one tablet every 15 minutes during an acute attack. D. I should take 1 tablet when my blood pressure is high.

Correct Answer is B

Explanation

Rationale:

A. Nitroglycerin is typically taken as needed for angina symptoms, not routinely before going to bed.

B. Taking one tablet at the first indication of chest pain is the correct instruction for using nitroglycerin to relieve angina symptoms.

C. While multiple doses of nitroglycerin may be needed during an acute angina attack, they should be spaced at least 5 minutes apart, not every 15 minutes.

D. Nitroglycerin is not typically used to lower blood pressure. It is primarily used to relieve angina symptoms by dilating blood vessels and improving blood flow to the heart.

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A nurse is teaching a client who has cardiac myopathy about ways to prevent episodes of angina. Which of the following instructions should the nurse include in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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