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An older adult client has medical history of hypertension. The nurse anticipates the
client needs further teaching when the client makes which statement?
A) i will watch my diet to be sure to restrict salt and sodium
B)i will try to quit smoking, but i smoke when i drink and i drink every day
C) i will take blood pressure every morning before i take my medications
D) i will start an exercise program per my doctors instructions to assist in losing weight -
ANSWERS-B .Excessive alcohol consumption is strongly associated with hypertension,
causes vasoconstriction and increase blood pressure
The nurse teaches a client receiving an antihypertensive medication prior to discharge.
The nurse determines that further teaching is necessary when the client makes which
statement?
A) "I should check w/ my health care provider before taking OTC medication"
B) "I can stop taking this medication when my blood pressure goes down."
C) " I will follow up with/ my health care provider to monitor my progress."
D) "I will change my position slowly" - ANSWERS-B) "I can stop taking this medication
when my blood pressure goes down."
Abrupt withdrawal may cause rebound hypertension.
Antihypertensive medication controls hypertension it does not cure it
The nurse teaches a class about cardiac glycosides to student nurses. Which statement
about cardiac glycosides does the nurse include in the education?
A.) They increase conduction through the AV node
, B.) They decrease the refractory period
C.) They increase blood flow to all organs
D.) They increase and strengthen the heartbeat - ANSWERS-C.) They increase blood
flow to all organs
Cardiac glycosides increase cardiac contractility( strengthen heartbeat) by inhibiting the
sodium pump on cardiac myocytes. This leads to an increased cardiac output. Digoxin
is a cardiac glycoside that decreases the HR and increases the force of contraction
A client is diagnosed with angina, and the nurse instructs the client about care at home.
The nurse determines that teaching is effective if the client makes which statement?
A.) "If I have chest pain, I should stop my activity and take an aspirin"
B.)"If I have chest pain, I should stop my activity and take a nitroglycerin tablet"
C.) "I can take another aspirin if my chest pain doesn't subside in 30 minutes"
D.) "If I have chest pain, I should rest for 30 minutes and then take a nitroglycerin tablet"
- ANSWERS-B.)"If I have chest pain, I should stop my activity and take a nitroglycerin
tablet"
Nitroglycerin is a short-acting nitrate used as a 1st line of defense for the treatment of
angina
The nurse understands the primary purpose of promoting rest for a client following a MI
includes which rationale?
A.) Facilitates accurate cardiac monitoring
B.) Promotes sleep and better oxygenation
C.) Decreases the workload on the heart
D.) Allows regeneration of the myocardium - ANSWERS-C.) Decreases the workload on
the heart
Client has altered cardiopulmonary tissue perfusion due to myocardial infarction. Rest
with limited mobility will decrease the workload of the heart by reducing myocardial O2
consumption
A toddler client undergoes a preparation for an ECG. Which action is most important for
the nurse to take?