A patient with dilated cardiomyopathy has recently developed atrial fibrillation that has been unresponsive to drug therapy for several days.

What topic should the nurse plan to include in patient teaching?

Adenosine (Adenocard).

Emergency cardioversion.

Anticoagulant therapy.

Permanent pacemakers.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Adenosine (Adenocard) is a medication that can be used to treat supraventricular tachycardia, a type of abnormal heart rhythm. However, it is not typically used for atrial fibrillation.
Choice B rationale
Emergency cardioversion, where an electric shock is used to restore the heart’s normal rhythm, can be used in some cases of atrial fibrillation. However, if the atrial fibrillation has been present for more than 48 hours, there is a risk of blood clots, and anticoagulation for several weeks before the procedure may be needed.
Choice C rationale
Anticoagulant therapy is often used in patients with atrial fibrillation to reduce the risk of stroke. Atrial fibrillation can lead to blood pooling in the atria, increasing the risk of clot formation. These clots can then travel to the brain, causing a stroke.
Choice D rationale
Permanent pacemakers are sometimes used in atrial fibrillation to help regulate the heart’s rhythm. However, they are typically used when other treatments have failed or are contraindicated.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale
Advocating for a diet rich in saturated fats is not a recommended strategy to prevent cardiovascular disease. Saturated fats can raise the level of cholesterol in your blood and increase your risk of heart disease.
Choice B rationale
Recommending cessation of smoking is a crucial intervention to prevent cardiovascular disease. Chemicals in tobacco can damage the heart and blood vessels, leading to narrowing of the arteries (atherosclerosis), which can ultimately lead to a heart attack.
Choice C rationale
Regular blood pressure monitoring is important as high blood pressure is a significant risk factor for heart disease. Controlling blood pressure helps ensure that your heart is not working harder than it should be, which can prevent damage to your heart and arteries.
Choice D rationale
Regular cholesterol screenings are essential because high levels of cholesterol can lead to the buildup of plaques in your arteries, increasing your risk of heart disease.
Choice E rationale
Regular physical exercise helps control your weight and can reduce your chances of developing other conditions that may put a strain on your heart, such as high blood pressure, high cholesterol, and diabetes.
Choice F rationale
Suggesting no more than 5 alcoholic drinks a day is not a recommended strategy to prevent cardiovascular disease. In fact, it is advised to limit alcohol intake as excessive drinking can lead to high blood pressure, heart failure, or even stroke.

A. Daily alcohol use. B. Myocardial infarction (MI). C. Asthma. D. Peptic ulcer disease.

Correct Answer is C

Explanation

Choice A rationale
Daily alcohol use is not a direct contraindication for Propranolol (Inderal), but it’s important to note that alcohol can increase the blood pressure-lowering effect of propranolol, which can make you feel dizzy or lightheaded.
Choice B rationale
Propranolol is often used in the treatment of conditions related to heart disease, such as hypertension and angina, and it can also be used in the secondary prevention of myocardial infarction.
Choice C rationale
Asthma is a contraindication for the use of Propranolol (Inderal). Propranolol can cause bronchial constriction by blocking beta-adrenergic receptors in the lungs, which can exacerbate asthma symptoms.
Choice D rationale
Peptic ulcer disease is not a direct contraindication for Propranolol (Inderal). However, like any medication, Propranolol should be used with caution in patients with a history of peptic ulcer disease.

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A patient with dilated cardiomyopathy has recently developed atrial fibrillation that has been unresponsive to drug therapy for several days. What topic should the nurse plan to include in patient teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a nurse in a community-based setting, you are educating clients on strategies to prevent cardiovascular disease. Which interventions should you include? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

If a patient diagnosed with hypertension is prescribed Propranolol (Inderal), what patient history should prompt the nurse to consult with the healthcare provider before administering this drug?

Correct Answer is C

Explanation

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A patient with dilated cardiomyopathy has recently developed atrial fibrillation that has been unresponsive to drug therapy for several days.

What topic should the nurse plan to include in patient teaching?