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1. Which population is at a higher risk for dying from a myocardial infarction?
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1. Caucasian males. w
2. Hispanic females. w
3. Asian males. w
4. African American females Correct Answer(s) 4. African American Females
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African American females are 35% more likely to die from coronary artery disease t
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han any other population. This population has significantly higher rates of hyper-
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w tension and it occurs at a younger age. The higher risk of death from an MI is also at
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tributed to a delay in seeking emergency care—an average of 11 hours.
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2. Which preprocedure information should be taught to the female client hav-
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w ing an exercise stress test in the morning?
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1. Wear open-toed shoes to the stress test.
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2. Inform the client not to wear a bra.
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3. Do not eat anything for four (4) hours.
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,4. Take the beta blocker one (1) hour before the test Correct Answer(s) 3. Do not
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w eat anything for four hours.
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NPO decreases the chance of aspiration in case of emergency. In addition, if the clien
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t has just had a meal, the blood sup-
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w ply will be shunted to the stomach for digestion and away from the heart, per-
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haps leading to an inaccurate test result.
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3. Which intervention should the nurse implement with the client diagnosed
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w with dilated cardiomyopathy?
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1. Keep the client in the supine position with the legs elevated.
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, 2. Discuss a heart transplant, which is the definitive treatment.
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3. Prepare the client for coronary artery bypass graft.
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4. Teach the client to take a calcium channel blocker in the morning Correct
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w Answer(s) 2. Discuss a heart transplant, which is the definitive treatment.
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Without a heart transplant, this client will end up in end-
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stage heart failure. A transplant is the only treatment for a client with dilated cardio
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myopathy.
4. Which medical client problem should the nurse include in the plan of care
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w for a client diagnosed with cardiomyopathy?
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1. Heart failure. w
2. Activity intolerance. w
3. Powerlessness.
4. Anticipatory grieving Correct Answ w w w
er(s) 1. Heart failure Medical client probl
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ems indicate
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