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A client who has had a significant myocardial infarction receives a referral to the cardiac rehabilitation unit. During his first visit to the unit, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do as the damage is done. Which of the following responses should the nurse make?

"Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely."

"Your doctor is the expert here, and I'm sure he would only recommend what is best for you."

"You are probably right and I agree with you, but I still think you should go."

"It's not unusual to feel that way at first, but once you learn the routine, you'll be fine."

Answer and Explanation

The Correct Answer is A

A. "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This response is therapeutic and educative, helping the client understand that while damage cannot be reversed, rehabilitation supports safe recovery and improved quality of life.

B. "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This response does not address the client’s concerns and lacks supportive or educational value.

C. "You are probably right and I agree with you, but I still think you should go." This dismissive response fails to provide support, education, or empathy.

D. "It's not unusual to feel that way at first, but once you learn the routine, you'll be fine." Although this statement offers some support, it lacks the educational element needed to address the client’s concerns about the purpose of rehabilitation.

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Correct Answer is A

Explanation

A. To prevent blood clotting: Aspirin is an antiplatelet agent, and it reduces blood clot formation, which helps prevent further cardiac events after an MI.

B. To reduce inflammation: Although aspirin has anti-inflammatory properties, this is not the primary reason for its use in post-MI clients.

C. To prevent fever: Aspirin can reduce fever, but this is not its purpose in MI prevention.

D. To provide analgesia: Aspirin can relieve pain, but in this context, it is used to prevent blood clotting, not as an analgesic.

A. Enriched cereal in whole milk B. Turkey sandwich on whole wheat bread, green beans, and banana C. Pork sausage and baked beans D. Hamburger, steak fries, and an orange

Correct Answer is B

Explanation

A. Enriched cereal in whole milk. Whole milk is high in saturated fats, which the DASH diet aims to limit.

B. Turkey sandwich on whole wheat bread, green beans, and banana. This meal is balanced, low in saturated fats, high in fiber, and aligns well with the DASH diet principles. (Correct Answer)

C. Pork sausage and baked beans. Pork sausage is high in saturated fats and sodium, which should be limited in the DASH diet.

D. Hamburger, steak fries, and an orange. While the orange is DASH-friendly, the hamburger and fries are high in fats and sodium.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a client who has a chronic illness about the DASH diet. Which of the following meals best fits the DASH diet?

Correct Answer is B

Explanation

A nurse is reinforcing teaching to a client who has dilated cardiomyopathy (DCM). Which of the following statements by the nurse should be included in the teaching?

A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

A nurse is collecting data from the medical record of an older adult client and sees that the client is taking Amiodarone. The client, has reported feeling frequently tired and unable to tolerate the heat. Which of the following conditions should the nurse suspect?

A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?

A nurse is caring for a client who experienced severe head trauma. The client's partner asks the nurse why they are concerned about the mean arterial pressure (MAP). The nurse should explain that MAP determines which of the following?

A nurse is caring for a client with peripheral artery disease who has an arterial ulcer. Which of the following best describes the mechanism for developing the clinical problem?

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)