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. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.

B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.

C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.

D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.

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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is instructing a client about how to self-administer nitroglycerin tablets. Which of the following statements by the client would indicate the teaching was effective?

Correct Answer is B

Explanation

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