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 A

Explanation

Rationale:

A. A transesophageal echocardiogram (TEE) is a specialized echocardiographic procedure that provides detailed images of the heart, including the atria and ventricles. It is particularly useful for detecting ventricular thrombi (blood clots) that may not be visualized as well with transthoracic echocardiography.

B. While an echocardiogram can provide information about heart function, including conduction problems, a TEE is not typically used specifically for this purpose.

C. Exercise tolerance is typically assessed through exercise stress testing or other exercise- related procedures, not with a TEE.

D. Blood flow to the distal extremities is not directly assessed with a TEE. This procedure primarily focuses on evaluating cardiac structure and function.

A. I should not have any coffee 3 hours after the exam. B. I should not exercise 3 hours after the exam. C. I should not have beta blockers 3 hours before the exam. D. I should not smoke 3 hours before the exam.

Correct Answer is C

Explanation

A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.

B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.

C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.

D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.

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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 providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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