NUR 507 Coronary artery disease 2025 graded A+ Q & A 2025 Review

1. If a patient has more than one risk factor, they are at an increase risk for cardiovascular disease (CAD). These risk factors are classified in two categories: non-modifiable and modifiable. The non-modifiable factors include family history, age, gender, culture, and ethnicity. Modifiable factors include smoking, hy- perlipidemia, hypertension, diabetes mellitus, obesity, sedentary lifestyle, stress, and psychosocial factors. Smoking cigarettes has a two to three times greater risk for developing cardiovascular disease. Which information in the client's history indicates an increased risk for coronary artery disease (CAD) and requires the nurse to provide disease management ed- ucation? (Select all that apply. One, some, or all options may be correct.) 2. Which intervention is most important for the nurse to reinforce when assisting the client in achieving their goal to quit smoking? 3. Therapeutic Communication: Noncompliance The client is post-menopausal and smokes two packs of cigarettes a day. Her hypertension is uncontrolled even with the prescribed ACE inhibitor. The client took the clinic's online learning course on reducing the risk for heart disease. At the conclusion of the course, the client tells the nurse that she does not need classes because she knows she is going to be healed. Which nursing intervention best promotes effective communication? -Family history of hyper- lipidemia. -Consumption of a high fat diet. -Smoking two packs of cigarettes per day Provide the client with a list of local smoking cessation programs. "Do you feel that you do not need to be involved in your health care?" 4. Client Teaching: Hyperlipidemia The client's lab results include: Serum cholesterol 280 mg/dL (7.25 mmol/L). Low-density lipoproteins (LDL) 180 mg/dL (4.66. mmol/L). High-density lipoproteins (HDL) 32 mg/dL (0.83 mmol/L). The client asks the nurse if these results are bad. Which nursing intervention best promotes effective communication? 5. After discussing these test results with the healthcare provider (HCP) and the nurse, the client expresses in- terest in learning how to lower her cholesterol and lose weight. The HCP prescribes the antihyperlipidem- ic agent lovastatin 20 mg PO daily. Which intervention is most important for the nurse to include in the client's plan of care related to the use of an antihyperlipidem- ic? 6. While taking the prescribed antihyperlipidemic, which serum laboratory value requires intervention? 7. Angina HDL less than 50 mg/dL (1.29 mmol/L) for women indicates an increased risk. Healthy lifestyle habits ALT 60 U/L (1.0 mckat/L). Put one tablet every 5 min- Several months later, the client visits the clinic for rou- utes under tongue up to 3 tine lab work. After walking into the clinic on a very hot tablets day, she reports to the nurse that she is experiencing chest pain. After resting for five minutes, the pain is re- lieved. Following assessment and ECG evaluation, the client is diagnosed with stable angina and receives two prescriptions:Nitroglycerin 0.2 mg/hour transdermal patch. Apply every morning and remove at bedtime daily.Nitroglycerin 0.3 mg SL as needed for chest pain. Which intervention is most important for the nurse to include in the client's plan of care for the self-adminis- tration of sublingual nitroglycerin? 8. When providing education for the prescribed transder- Tell the healthcare mal nitroglycerin, which intervention is most impor- tant for the nurse to include? 9. The HCP prescribes a stress echocardiogram. When preparing the client for the test, which instruction is most important for the nurse to provide? 10. Acute Myocardial Infarction (AMI) provider (HCP) of persis- tent dizziness when stand- ing Instruct the client not to smoke on the day of the test. IV access and administer The client's angina remains stable, and she undergoes morphine sulfate as or- a hysterectomy for dysmenorrhea related to uterine fi- dered by the HCP broids. The day after being discharged from the hospi- tal, the client comes to the ED with crushing substernal chest pain radiating down her left arm. She is dyspneic, pale, and diaphoretic.