The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

Lack of sufficient oxygen to the myocardium.

Increased cardiac workload.

Interrupted electrical activity to areas of the heart.

Lack of nutrients to the heart.

Answer and Explanation

The Correct Answer is A

Choice A reason: The myocardium requires a constant supply of oxygen to function properly. Coronary artery disease (CAD) causes a reduction in blood flow due to narrowed or blocked coronary arteries, leading to a lack of oxygen in the heart muscle, which can result in angina or chest pain.

Choice B reason: While increased cardiac workload can exacerbate chest pain, it is not the primary cause of pain in CAD. The pain is primarily due to ischemia, which is the lack of oxygen and nutrients to the heart tissue due to reduced blood flow.

Choice C reason: Interrupted electrical activity can lead to arrhythmias or heart attack, but it is not the direct cause of pain in CAD. The pain is related to ischemia, not electrical disturbances.

Choice D reason: A lack of nutrients, including oxygen, to the heart does contribute to the pain experienced in CAD; however, the primary factor is the insufficient oxygen supply, which is explicitly stated in choice A.

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

Explanation

Choice A reason: Clang associations, or speech governed by the sound of words rather than their meaning, are common in manic episodes.

Choice B reason: Impulsive behaviors such as spending large sums of money are characteristic of mania.

Choice C reason: Increased sociability and flirtatious behavior can be observed in individuals experiencing mania.

Choice D reason: Sleeping for long periods is not typically associated with manic behavior; rather, reduced need for sleep is more common.

Choice E reason: Rapid, continuous speech is a symptom of manic behavior, often making it difficult for others to interrupt.

A. No gluten. B. No extra salt. C. No processed lunch meat. D. No caffeine.

Correct Answer is C

Explanation

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.

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The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

Correct Answer is C

Explanation

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

After hospitalization for a myocardial infarction, a patient is placed on a low-sodium diet. In discussing foods allowed on this diet, the nurse would inform the patient that this includes which of the following?

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

Which of the following is not true about depression?

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?