The client who is newly diagnosed with coronary artery disease asks the nurse, "What should I do to help to avoid further complications from my disease?" What information should the nurse stress first?

Performing meditation every day will be very important.

It is important to look into a smoking cessation program.

It is important to take a fish oil capsule daily.

You will not be able to eat meat or have other fats in your diet.

Answer and Explanation

The Correct Answer is B

Choice A reason: Performing meditation every day will not be the most important information that the nurse should stress first. Meditation is a practice that involves focusing the mind on a particular object, thought, or activity, and can help reduce stress, anxiety, and blood pressure. However, meditation alone is not enough to prevent or treat coronary artery disease, which is a condition where the arteries that supply blood to the heart become narrowed or blocked by plaque. The nurse should advise the client to practice meditation as a complementary therapy, but not as the primary intervention.

Choice B reason: It is important to look into a smoking cessation program is the most important information that the nurse should stress first. Smoking is a major risk factor for coronary artery disease, as it damages the lining of the arteries, increases the buildup of plaque, reduces the oxygen in the blood, and raises the blood pressure and heart rate. Smoking can also worsen the symptoms and complications of coronary artery disease, such as chest pain, shortness of breath, or heart attack. The nurse should urge the client to quit smoking as soon as possible, and provide them with resources and support to help them achieve this goal.

Choice C reason: It is important to take a fish oil capsule daily is not the most important information that the nurse should stress first. Fish oil is a source of omega-3 fatty acids, which are beneficial for the heart and blood vessels, as they can lower the triglycerides, reduce inflammation, and prevent blood clots. However, fish oil alone is not enough to prevent or treat coronary artery disease, which is a condition where the arteries that supply blood to the heart become narrowed or blocked by plaque. The nurse should recommend the client to take fish oil as a supplement, but not as the main treatment.

Choice D reason: You will not be able to eat meat or have other fats in your diet is not the most important information that the nurse should stress first. A healthy diet is essential for preventing and managing coronary artery disease, as it can help lower the cholesterol, blood pressure, and weight, and improve the blood flow and oxygen to the heart. However, a healthy diet does not mean that the client has to avoid all meat or fats, as some of them can be beneficial for the heart, such as lean meat, poultry, fish, nuts, seeds, or olive oil. The nurse should educate the client to limit the intake of saturated and trans fats, which are found in red meat, butter, cheese, pastries, or fried foods, and to choose more fruits, vegetables, whole grains, and low-fat dairy products.

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Correct Answer is C

Explanation

Choice A reason: Limiting the intake of citrus juices is not related to the teaching about hydrochlorothiazide. Citrus juices are rich in vitamin C, which has no significant interaction with hydrochlorothiazide. The client does not need to avoid or limit citrus juices unless they have other medical conditions that require dietary restrictions.

Choice B reason: Eating bananas daily to lower the potassium level is a wrong statement. Bananas are high in potassium, which is a mineral that hydrochlorothiazide can deplete from the body. The client may need to increase their potassium intake or take a potassium supplement to prevent hypokalemia, a condition of low potassium level that can cause muscle weakness, cramps, and arrhythmias.

Choice C reason: Taking the pill each day in the morning is the correct statement. Hydrochlorothiazide is a diuretic that increases the urine output and reduces the blood volume and pressure. The client should take the pill in the morning to avoid nocturia, which is frequent urination at night that can disrupt the sleep quality and increase the risk of falls.

Choice D reason: Taking the pill each day after dinner is not the best statement. Hydrochlorothiazide can cause diuresis, which is increased urine production and excretion. Taking the pill after dinner can lead to nocturia, which is frequent urination at night that can interfere with the sleep cycle and cause fatigue and irritability. The client should take the pill in the morning to prevent nocturia and its complications.

A. The pain you have is because your heart valves are damaged. B. Your heart muscle is weak and is not pumping forcefully. C. The pain is caused by decreased oxygen to the heart muscle. D. The layers of your heart are weak and thin.

Correct Answer is C

Explanation

Choice A reason: The pain you have is because your heart valves are damaged is not the most appropriate response. This statement may apply to a client with valvular heart disease, but not necessarily to a client with coronary artery disease. The nurse should explain that coronary artery disease is a condition that affects the blood vessels that supply the heart, not the heart valves.

Choice B reason: Your heart muscle is weak and is not pumping forcefully is not the most appropriate response. This statement may apply to a client with heart failure, but not necessarily to a client with coronary artery disease. The nurse should explain that coronary artery disease is a condition that reduces the blood flow to the heart, not the heart's contractility.

Choice C reason: The pain is caused by decreased oxygen to the heart muscle is the most appropriate response. This statement accurately describes the cause of angina, which is the chest pain that occurs when the heart does not receive enough oxygen due to narrowed or blocked coronary arteries. The nurse should also inform the client about the factors that can trigger or relieve angina, such as physical exertion, emotional stress, cold weather, or nitroglycerin.

Choice D reason: The layers of your heart are weak and thin is not the most appropriate response. This statement may apply to a client with cardiomyopathy, but not necessarily to a client with coronary artery disease. The nurse should explain that coronary artery disease is a condition that affects the blood vessels that supply the heart, not the heart's structure.

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The client who is newly diagnosed with coronary artery disease asks the nurse, "What should I do to help to avoid further complications from my disease?" What information should the nurse stress first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with hypertension about the prescribed hydrochlorothiazide 10 mg PO daily. Which statement, made by the client, would indicate that the teaching has been effective? "I will:

Correct Answer is C

Explanation

The client with coronary artery disease asks the nurse, "Why do I get this chest pain?" Which would be the most appropriate response?

Correct Answer is C

Explanation

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The client who is newly diagnosed with coronary artery disease asks the nurse, "What should I do to help to avoid further complications from my disease?" What information should the nurse stress first?

The nurse is conducting dietary teaching for a client diagnosed with coronary artery disease. Which statement made by the client indicates an understanding of fat sources and the need to limit saturated fats?