MED SURGE CH. 30: CORONARY HEART DISEASE NCLEX EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

The nurse instructs a patient about modifiable risk factors for coronary artery disease. Which statements indicate that teaching has been effective? (Select all that apply) 1. I should stop smoking to reduce my risk of heart disease 2. Restricting my activity reduces the onset of heart disease 3. I should drink alcohol because this prevents hearts disease 4. There is not much that can be done to prevent heart disease 5. Obesity is a risk actor that I can change to reduce the onset of heart disease Correct Answer: 1, 5 Modifiable risk factors for the development of coronary artery disease include obesity, smoking, and physical inactivity A patient is prescribed lovastatin (Mevacor) for hyperlipidemia. What should the nurse instruct the patient about this medication? 1. Abstain from alcohol use while taking this drug 2. Take the drug with meals to minimize gastric distress 3. Promptly report muscle pain or tenderness to the physician 2 4. Consume a diet that includes no more than 20% of calories from saturated fat. Correct Answer: 3. Lovastatin is a first line drug for treating hyperlipidemia and can cause myopathy. All patients should be instructed to report muscle pain and weakness or brown urine, which is an indication of muscle breakdown. The nurse is caring for a patient with stable angina. Which assessment finding would be consistent with this medical diagnosis? 1. Persistent ECG changes 2. Increasing nocturnal pain 3. Correlation between activity level and pain 4. Evidence of impaired cardiac output such as weak peripheral pulses. Correct Answer: 3. Stable angina is the most common and predictable form of angina. It occurs with a predictable amount of activity or stress and usually occurs when the work of the heart is increased by physical exertion, exposure to the cold, or by stress.