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","C"]

Explanation

Rationale:

A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.

B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.

C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.

D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.

E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.

A. This disease requires an avoidance of caffeine. B. This disease requires stockings to be worn at all times. C. This disease requires a cold compress for pain relief. D. The disease requires legs to be elevated above the heart at all times.

Correct Answer is B

Explanation

Rationale:

A. Avoidance of caffeine is not specifically indicated for peripheral arterial disease. While caffeine can temporarily constrict blood vessels, it is not a primary treatment for this condition.

B. Compression stockings can improve blood flow in peripheral arterial disease by providing external pressure to the legs, helping to reduce swelling and improve circulation.

C. Cold compresses may provide temporary relief for pain associated with peripheral arterial disease, but they are not a primary treatment and do not address the underlying circulation issues.

D. Elevating the legs above the heart can sometimes be helpful for improving circulation, but it is not a practical or sustainable treatment for peripheral arterial disease.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

Correct Answer is ["B","C"]

Explanation

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Correct Answer is B

Explanation

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