NSG 430 Exam 5 (Complete And Verified Study material) (106pages) LEARNEXAMS

1. The nurse is developing a teaching plan for a patient with coronary artery disease (CAD). Which factor would the nurse focus on during the 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 Elevated low-density lipoprotein (LDL) level Because family history, gender, and age are nonmodifiable risk factors, the nurse should focus on the patient's LDL level. Decreases in LDL will help reduce the patient's risk for developing CAD. 2. Which nursing intervention is likely to be most effective when assisting the patient with coronary artery disease to make dietary changes? a. Inform the patient about a diet containing no saturated fat and minimal salt. b. Emphasize the increased cardiac risk unless the patient makes dietary changes. c. Help the patient modify favorite high-fat recipes by using monounsaturated oils. d. Give the patient a list of low-sodium, low-cholesterol foodsto include in the diet.: Answer Help the patient modify favorite high-fat recipes by using monounsaturated oils. Lifestyle changes are more likely to be successful when consideration is given to the patient's values and preferences.The highest percentage of calories from fat should come from monounsaturated or polyunsaturated fats.Although low-sodium and low-cholesterol foods are appropriate, providing the patient with a list alone is not likely to be successful in making dietary changes.Completely removing saturated fat from the diet is not a realistic expectation. Up to 7% of calories in the therapeutic lifestyle changes diet can come from saturated fat. Telling the patient about the increased risk without assisting further with strategies for dietary change is unlikely to be successful. 3. The nurse is admitting a patient who has chest pain.Which assessment data suggest that the pain may be 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.: