What is the action of the thiazide diuretic?

Choice A rationale

Unstable angina is characterized by sudden, severe chest pain that occurs at rest or with minimal exertion and is not relieved by nitroglycerin. It represents an imminent risk of myocardial infarction.

Choice B rationale

Ischemic heart disease can cause various types of angina, including stable, unstable, and Prinzmetal’s angina. The term “ischemic” refers to a lack of blood flow to the heart muscle, but this choice is too broad.

Choice C rationale

Stable angina occurs when there is an imbalance between myocardial oxygen supply and demand, typically during physical exertion or emotional stress. It is characterized by predictable chest pain that is relieved by rest or nitroglycerin.

Choice D rationale

Prinzmetal’s angina, also known as variant angina, is caused by a spasm in the coronary arteries, which leads to a temporary reduction in blood flow. It can occur at rest and is not necessarily related to the imbalance of myocardial supply and demand.

Choice A rationale

Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.

Choice B rationale

Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.

Choice C rationale

Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.

Choice D rationale

Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.