The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

"I can continue smoking but only 1 pack a week instead of 2."

"I will be sure to include some exercise such as walking in my daily activities."

"It is acceptable to eat red meat and cheese every day as I have been doing, as long as I cut down on the butter."

"I will work at losing some weight so that my weight is at normal range for my age."

"I will schedule regular doctor appointments for physical examinations and monitoring my blood pressure."

Answer and Explanation

Correct Answer : B,D,E

A. Smoking, even at a reduced rate, still significantly increases the risk of CAD, so reducing smoking to only one pack a week is not an acceptable solution.

B. Regular exercise, such as walking, is beneficial for managing coronary artery disease (CAD), improving cardiovascular fitness, and reducing risk factors like hypertension and obesity.

C. Consuming red meat and cheese daily is not recommended for CAD management due to the high saturated fat content, which can raise cholesterol levels and worsen the condition. A heart-healthy diet typically limits these foods.

D. Maintaining a healthy weight through weight loss is a key factor in managing CAD risk, as obesity contributes to hypertension, diabetes, and lipid imbalances.

E. Regular doctor appointments for physical exams and monitoring blood pressure are essential for managing CAD and preventing complications such as heart attacks or strokes.

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Correct Answer is B

Explanation

A. A troponin level will confirm myocardial injury but should be done after an ECG, as the ECG provides immediate information on the condition.

B. The first action in a chest pain situation is to obtain an ECG to assess for myocardial infarction or other cardiac abnormalities. The ECG provides immediate information about the heart's electrical activity and can help identify whether the chest pain is related to a cardiac event.

C. Insertion of a peripheral IV is important for administering medications and fluids, but it is not as urgent as obtaining an ECG to evaluate the patient's heart.

D. A chest X-ray is useful for other potential diagnoses (e.g., pulmonary embolism or pneumothorax) but is not the first step in diagnosing a myocardial event.

A. "A pharmacist is the person to answer that question." B. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." C. "Heparin does not dissolve dots. It stops new clots from forming." D. The oral medication you will take after this IV will dissolve the clot

Correct Answer is C

Explanation

A. A pharmacist would not provide a definitive answer regarding how long it takes for heparin to dissolve clots. The nurse should provide correct information about heparin's function.

B. Heparin reaches a therapeutic blood level relatively quickly (within hours), but it does not dissolve clots; it just prevents further clot formation.

C. Heparin is an anticoagulant, not a thrombolytic. It prevents the formation of new clots and reduces the risk of existing clots becoming larger, but it does not break down the clots. Thrombolytics (e.g., tissue plasminogen activator) are required for dissolving clots.

D. Oral medications like warfarin (Coumadin) are also anticoagulants but are not used for dissolving clots.

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The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has chest pain is admitted to the emergency department (ED), and all of the following are ordered. Which one should the nurse arrange to be completed first?

Correct Answer is B

Explanation

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is C

Explanation

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which of the following laboratory test results are most indicative of myocardial damage?

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

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A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

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The nurse is planning to teach a client with peripheral arterial disease about measures to limit disease progression. Which items would the nurse include on a list of suggestions for the client? Select all that apply.