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The examination of a patient in a supine
position reveals distended jugular veins from
the base of the neck to the angle of the jaw.
This finding indicates:
decreased venous return.
increased central venous pressure.
increased pulmonary artery capillary
pressure.
left-sided heart failure.
increased central venous pressure.
When caring for a patient who has
intermittent claudication, the cardiac-
vascular nurse advises the patient to:
apply graduated compression stockings
before getting out of bed.
elevate the legs when sitting.
refrain from exercise.
walk as tolerated.
walk as tolerated.
The cardiac-vascular nurse reviews
recommended activities with a patient who
sustained a myocardial infarction. The
patient states, "It doesn't really matter what I
do or don't do. I will either get better or die."
This statement reflects:
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, acceptance of changed health status.
an internal locus of control.
feelings of loss of control.
projection.
feelings of loss of control.
A patient who is in the 10th week of
outpatient cardiac rehabilitation continues to
exhibit symptoms of depression. When
developing a discharge plan, the cardiac-
vascular nurse includes:
a referral for counseling and possible
medication.
a trial of herbal remedies.
alternative therapies, including yoga and
massage.
comprehensive information about the
patient's cardiac status to help reduce his or
her anxiety.
a referral for counseling and possible
medication.
When reviewing a patient's four-week diet
history, the cardiac-vascular nurse identifies
a pattern of high-calorie intake on Monday,
Wednesday, and Friday nights. The patient
states that the patient's spouse recently
started taking a night class on those evenings
at a local university. The patient's diet history
indicates:
a disabling family coping behavior.
a lack of dietary instruction.
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