When a nurse reinforces teaching a patient about the nonpharmacologic control of heart disease, which of the following should be included?
High protein diet
Decrease exercise
Smoking cessation
Increase water intake
The Correct Answer is C
A) High protein diet:
While a healthy diet is essential for managing heart disease, a high-protein diet is not specifically recommended as a nonpharmacologic control for heart disease. A balanced diet that includes adequate protein, healthy fats, and low saturated fats, while being high in fruits, vegetables, and whole grains, is more beneficial for heart health.
B) Decrease exercise:
Decreasing exercise is not recommended for heart disease management. In fact, regular physical activity is a key aspect of preventing and managing heart disease. Moderate exercise, such as walking, swimming, or cycling, helps improve cardiovascular health by lowering blood pressure, improving cholesterol levels, and reducing stress.
C) Smoking cessation:
Smoking cessation is one of the most important nonpharmacologic strategies for managing heart disease. Smoking is a major risk factor for heart disease because it damages the blood vessels, increases blood pressure, and promotes the formation of blood clots. Quitting smoking can significantly reduce the risk of heart disease, improve circulation, and lower the risk of heart attack and stroke.
D) Increase water intake:
While staying hydrated is important for overall health, there is no specific evidence to suggest that increasing water intake directly controls heart disease. However, maintaining proper hydration supports kidney function and circulatory health, and can assist with managing blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered dose of Vancomycin: 500 mg
Infusion rate: 5 mg/kg/hr
Patient weight: 98 lbs
Concentration of Vancomycin: 500 mg/100 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 98 lbs x 0.453592 kg/lb = 44.462256 kg
Step 2: Calculate the total dose of Vancomycin in mg/hr:
Total dose (mg/hr) = Ordered dose (mg/kg/hr) x Patient weight (kg)
Total dose (mg/hr) = 5 mg/kg/hr x 44.462256 kg
Total dose (mg/hr) = 222.31128 mg/hr
Step 3: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (mg/hr) / Concentration (mg/mL)
Infusion rate (mL/hr) = 222.31128 mg/hr / (500 mg/100 mL)
Infusion rate (mL/hr) = 222.31128 mg/hr x (100 mL/500 mg)
Infusion rate (mL/hr) = 44.462256 mL/hr
Step 4: Round to the nearest tenth:
Infusion rate (mL/hr) ≈ 44.5 mL/hr
Correct Answer is D
Explanation
A) 6 Units Regular Insulin sub-cut:
According to the sliding scale, a blood glucose level of 164 mg/dL would not fall within the range requiring 6 units of insulin. The 6-unit dose is for blood glucose levels between 301-490 mg/dL. Since the client's reading of 164 mg/dL is lower than 181 mg/dL, this dosage is not applicable.
B) 2 Units Regular Insulin sub-cut:
This is also incorrect. The 2-unit dose is prescribed for blood glucose levels between 181-240 mg/dL. Since the client's reading is 164 mg/dL, it falls below this range, so 2 units is not appropriate.
C) 0.5 Units Regular insulin sub-cut:
This is not correct because there is no provision in the sliding scale for administering 0.5 units of insulin. The scale provides dosing for specific ranges and does not include fractional doses. Additionally, the blood glucose reading of 164 mg/dL does not require any insulin according to the prescribed sliding scale.
D) No coverage:
According to the sliding scale, a blood glucose level of 164 mg/dL falls within the 0-180 mg/dL range, which specifies no coverage or insulin administration. The sliding scale clearly indicates that no insulin is needed when the blood glucose level is within this range.
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