NSG 420 Exam 1 Ch 33 Complete And Study material 18pages LEARNEXAMS

1. 1. The nurse is developing a teaching plan for a 64-year-old patient with coronary artery disease (CAD).Which factorshould the nurse focus on duringthe teaching session? a. Family history of coronary artery disease b. Elevated low-density lipoprotein (LDL) level c. Greater risk associated with the patient's gender d. Increased risk of cardiovascular disease with aging: Answer B Because family history, gender, and age are nonmodifiable risk factors, the nurseshould focus on the patient's LDL level. Decreases in LDL will help reduce the patient's risk for developing CAD. 2. 2. Which nursing intervention is likely to be most effective when assisting the patient with coronary artery disease to make appropriate dietary changes? a. Inform the patient about a diet containing no satu fat and minimal salt. b. Emphasize the increased cardiac risk unless the patient makes dietarychanges. c. Help the patient modify favorite high-fat recipes by using monounsatu oils. d. Give the patient a list of low-sodium, low-cholesterol foods to include in thediet.: Answer C Lifestyle changes are more likely to be successful when consideration is given to the patient's values and preferences.The highest percentage of caloriesfrom fatshouldcome from monounsatu or polyunsatu fats. Although low-sodium and lowcholesterol foods are appropriate, providing the patient with a list alone is not likely to be successful in making dietary changes. Completely removing satu fat from the diet is not a realistic expectation.Up to 7% of calories in the therapeuticlifestyle changes diet can come from satu fat. Telling the patient about the increased risk without assisting further with strategies for dietary change is unlikelyto be successful. 3. 3. The nurse is admitting a patient who has chest pain.Which assessmentdata suggest that the pain is from an acute myocardial infarction? a. The pain increases with deep breathing. b. The pain has lasted longer than 30 minutes. c. The pain is relieved after the patient takes nitroglycerin. d. The pain is reproducible when the patient raises the arms.: Answer B Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in pain that occur with raising the arms or with deep breathing are more typical of