NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome Questions and Answers 100% Pass

NSG4330 - Coronary Artery Disease and Acute Coronary Syndrome Questions and Answers 100% Pass When developing a health teaching plan for a 60-year-old man with the following risk factors for coronary artery disease (CAD), the nurse should focus on the: a) family history of coronary artery disease. b) increased risk associated with the patient's gender. c) high incidence of cardiovascular disease in older people. d) elevation of the patient's serum low density lipoprotein (LDL) level. - Correct Answer️️ -d) Because family history, gender, and age are nonmodifiable risk factors, the nurse should focus on the patient's LDL level. Decreases in LDL will help reduce the patient's risk for developing CAD. To assist the patient with coronary artery disease (CAD) in making appropriate dietary changes, which of these nursing interventions will be most effective? a) Instruct the patient that a diet containing no saturated fat and minimal sodium will be necessary. b) Emphasize the increased risk for cardiac problems unless the patient makes the dietary changes. c) Assist the patient to modify favorite high-fat recipes by using monosaturated oils when possible. d) Provide the patient with a list of low-sodium, low-cholesterol foods that should be included in the diet. - Correct Answer️️ -c)Smart PDF Lifestyle changes are more likely to be successful when consideration is given to the patient's values and preferences. The highest percentage of calories from fat should come from monosaturated fats. Although low-sodium and low-cholesterol foods are appropriate, providing the patient with a list alone is not likely to be successful in making dietary changes. Removing saturated fat from the diet completely is not a realistic expectation; up to 7% of calories in the therapeutic lifestyle changes (TLC) diet can come from saturated fat. Telling the patient about the increased risk without assisting further with strategies for dietary change is unlikely to be successful. Which information collected by the nurse who is admitting a patient with chest pain suggests that the pain is caused by an acute myocardial infarction (AMI)? a) The pain increases with deep breathing. b) The pain has persisted longer than 30 minutes. c) The pain worsens when the patient raises the arms. d) The pain is relieved after the patient takes nitroglycerin. - Correct Answer️️ -b) Chest pain that lasts for 20 minutes or more is characteristic of AMI. Changes in pain that occur with raising the arms or with deep breathing are more typical of pericarditis or musculoskeletal pain. Stable angina is usually relieved when the patient takes nitroglycerin. Which information given by a patient admitted with chronic stable angina will help the nurse confirm this diagnosis? a) The patient rates the pain at a level 3 to 5 (0 to 10 scale). b) The patient states that the pain "wakes me up at night."Smart PDF c) The patient says that the frequency of the pain has increased over the last few weeks. d) The patient states that the pain is resolved after taking one sublingual nitroglycerin tablet. - Correct Answer️️ -d) Chronic stable angina is typically relieved by rest or nitroglycerin administration. The level of pain is not a consistent indicator of the type of angina. Pain occurring at rest or with increased frequency is typical of unstable angina. After the nurse has finished teaching a patient about use of sublingual nitroglycerin (Nitrostat), which patient statement indicates that the teaching has