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wayneyoo wayneyoo
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6 years ago
After reviewing information shown in the accompanying figure from the medical records of a 43-year-old, which risk factor modification for coronary artery disease should the nurse include in patient teaching?
 
  a. Importance of daily physical activity
  b. Effect of weight loss on blood pressure
  c. Dietary changes to improve lipid levels
  d. Ongoing cardiac risk associated with history of tobacco use

Question 2

A patient with diabetes mellitus and chronic stable angina has a new order for captopril (Capoten). The nurse should teach the patient that the primary purpose of captopril is to
 
  a. lower heart rate.
  b. control blood glucose levels.
  c. prevent changes in heart muscle.
  d. reduce the frequency of chest pain.

Question 3

Which patient at the cardiovascular clinic requires the most immediate action by the nurse?
 
  a. Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL
  b. Patient with stable angina whose chest pain has recently increased in frequency
  c. Patient with familial hypercholesterolemia and a total cholesterol of 465 mg/dL
  d. Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
The patient has an elevated low-density lipoprotein (LDL) cholesterol and low high-density lipoprotein (HDL) cholesterol, which will increase the risk of coronary artery disease. Although the blood pressure is in the prehypertensive range, the patient's waist circumference and body mass index (BMI) indicate an appropriate body weight. The risk for coronary artery disease a year after quitting smoking is the same as a nonsmoker. The patient's occupation indicates that daily activity is at the levels suggested by national guidelines.

The answer to question 2

ANS: C
The purpose for angiotensin-converting enzyme (ACE) inhibitors in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling. ACE inhibitors do not directly impact angina frequency, blood glucose, or heart rate.

The answer to question 3

ANS: B
The history of more frequent chest pain suggests that the patient may have unstable angina, which is part of the acute coronary syndrome spectrum. This will require rapid implementation of actions such as cardiac catheterization and possible percutaneous coronary intervention. The data about the other patients suggest that their conditions are stable.
wayneyoo Author
wrote...
6 years ago
TY
wrote...
6 years ago
You're welcome
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