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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hydralazine is a vasodilator, but it does not have the same mechanism of action as ACE inhibitors or ARBs and would not be an appropriate substitute.
B. An antiplatelet medication is not appropriate for addressing a cough and is typically used for cardiovascular conditions like preventing blood clots.
C. ARBs, such as losartan, are a class of medications that work similarly to ACE inhibitors by blocking the effects of angiotensin II, but they do not cause the common side effect of a dry, hacking cough, which is seen with ACE inhibitors. This makes ARBs a good alternative for patients who experience this side effect.
D. Nitroglycerin is a vasodilator used in acute conditions like chest pain, not for managing hypertension or a cough related to ACE inhibitors.
Correct Answer is A
Explanation
A. Warfarin is an anticoagulant, which increases the risk of bleeding. Activities like straining or forceful nose blowing can increase the risk of bleeding, particularly nasal or internal bleeding, so the nurse should advise the client to avoid these actions.
B. Brushing teeth vigorously is not recommended with warfarin because it can lead to bleeding gums. The nurse should suggest using a soft toothbrush and brushing gently.
C. If a dose of warfarin is missed, the client should not double the dose. They should take the missed dose as soon as they remember, unless it's close to the time for the next dose, in which case they should skip the missed dose and resume the normal dosing schedule.
D. Warfarin is an oral medication, so rotating injection sites is not applicable. This advice is more relevant for injectable medications like insulin or heparin.
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