For a patient recovering from an acute myocardial infarction (AMI) who inquires about safely resuming sexual intercourse, what would be the best response from the nurse?
Sexual activity uses about as much energy as climbing two flights of stairs.
Holding and cuddling are good ways to maintain intimacy after a heart attack.
The doctor will provide sexual guidelines when your heart is strong enough.
Most patients are able to enjoy intercourse without any complications.
The Correct Answer is A
Choice A rationale
Sexual activity uses about as much energy as climbing two flights of stairs. This comparison can help patients understand that if they can perform activities of similar exertion without chest pain or undue fatigue, it may be safe to resume sexual activity. However, patients should always consult with their healthcare provider before resuming sexual activity after an acute myocardial infarction (AMI).
Choice B rationale
While holding and cuddling are good ways to maintain intimacy after a heart attack, this does not directly address the patient’s question about safely resuming sexual intercourse.
Choice C rationale
While it is true that the doctor will provide sexual guidelines when the patient’s heart is strong enough, this response does not provide the patient with immediate guidance or reassurance.
Choice D rationale
While most patients are able to enjoy intercourse without any complications, this statement may be too general and does not take into account the individual patient’s health status and recovery progress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Prolonged PR intervals occur with first-degree AV block, not typically with pericarditis.
Choice B rationale
Clubbing of the fingers is a loss of the normal angle between the base of the nail and the skin. This finding can be found in endocarditis, congenital defects, and/or prolonged oxygen deficiency. It is not a typical manifestation of pericarditis.
Choice C rationale
Widened pulse pressure occurs with valvular heart disease, not typically with pericarditis.
Choice D rationale
Pulsus paradoxus is a sign of cardiac tamponade, a serious complication of pericarditis. As the compression of the heart increases, decreased left atrial filling decreases cardiac output.
Correct Answer is B
Explanation
The statement “I will call an ambulance if I have pain after taking 3 nitroglycerin 5 minutes apart” indicates that the patient understands the correct use of sublingual nitroglycerin (Nitrostat). If chest pain is not relieved after a total of 3 tablets or sprays, this is an emergency situation and medical help should be sought immediately.
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