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A nurse is caring for a client who is recovering from a myocardial infarction (MI). The cardiologist refers the client to cardiac rehabilitation. Which statement by the client indicates an understanding of cardiac rehabilitation? "When I finish the rehabilitation program I'll never have to worry a...

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Adult Health Exam 3 Test Questions
With Guaranteed Pass Solutions.
A nurse is caring for a client who is recovering from a myocardial infarction (MI). The cardiologist refers
the client to cardiac rehabilitation. Which statement by the client indicates an understanding of cardiac
rehabilitation?

"When I finish the rehabilitation program I'll never have to worry about heart trouble again."

"I won't be able to jog again even with rehabilitation."

"Rehabilitation will help me function as well as I physically can."

"I'll get rest during these rehabilitation classes. All I have to do is sit and listen to the instructor." -
Answer "Rehabilitation will help me function as well as I physically can."



Which is a modifiable risk factor for coronary artery disease (CAD)?

Increasing age

Hyperlipidemia

Male gender

Family history - Answer Hyperlipidemia



A nurse records a client's history and discovers several risk factors for coronary artery disease (CAD).
Which cardiac risk factors can the client control?

Diabetes, hypercholesterolemia, and heredity

Diabetes, age, and gender

Age, gender, and heredity

Diabetes, hypercholesterolemia, and hypertension - Answer Diabetes, hypercholesterolemia, and
hypertension



A client with a strong family history of coronary artery disease asks the nurse how to reduce the risk of
developing the disorder. Which is the best response by the nurse?

"Moderation is the key to everything."

"Ask your physician to prescribe the new reverse lipid drug."

,"Increase the soy in your diet."

"Exercise, keep your blood sugar in check, and manage your stress." - Answer "Exercise, keep your
blood sugar in check, and manage your stress."



Which is a modifiable risk factor for coronary artery disease (CAD)?

Hypertension

Gender

Race

Increasing age - Answer Hypertension



A client reports chest pain and palpitations during and after jogging in the mornings. The client's family
history reveals a history of coronary artery disease (CAD). What should the nurse recommend to
minimize cardiac risk?

Protein-rich diet

Liquid diet

Smoking cessation

Mild meals - Answer Smoking cessation



A nurse is educating a community group about coronary artery disease. One member asks about how to
avoid coronary artery disease. Which of the following items are considered modifiable risk factors for
coronary artery disease? Choose all that apply.

Hyperlipidemia

Gender

Obesity

Race

Tobacco use - Answer Hyperlipidemia

Obesity

Tobacco use



The nurse is caring for a client with coronary artery disease (CAD). What is an appropriate nursing action
when evaluating a client with CAD?

,Assess the client's mental and emotional status.

Assess the skin of the client.

Assess the characteristics of chest pain.

Assess for any kind of drug abuse. - Answer Assess the characteristics of chest pain.



A client with chronic arterial occlusive disease undergoes percutaneous transluminal coronary
angioplasty (PTCA) for mechanical dilation of the right femoral artery. After the procedure, the client will
be prescribed long-term administration of which drug?

aspirin or acetaminophen.

pentoxifylline or acetaminophen.

aspirin or clopidogrel.

penicillin V or erythromycin. - Answer aspirin or clopidogrel.



A nurse is evaluating a client who had a myocardial infarction (MI) 7 days earlier. Which outcome
indicates that the client is responding favorably to therapy?

The client demonstrates ability to tolerate more activity without chest pain.

The client exhibits a heart rate above 100 beats/minute.

The client verbalizes the intention of making all necessary lifestyle changes except for stopping smoking.

The client states that sublingual nitroglycerin usually relieves his chest pain. - Answer The client
demonstrates ability to tolerate more activity without chest pain.



The nurse is doing discharge teaching with a client who has coronary artery disease. The client asks why
they have to take an aspirin every day if they don't have any pain. Which rationale for this intervention
would be the best?

To help restore the normal function of the heart

To help prevent blockages that can cause chest pain or heart attacks

To help the blood penetrate the heart more freely

To help the blood carry more oxygen than it would otherwise - Answer To help prevent blockages that
can cause chest pain or heart attacks



A nurse is providing education about hypertension to a community group. What are possible
consequences of untreated hypertension? Select all that apply.

, Coronary artery disease

Myocardial infarction

Pancreatitis

Tension pneumothorax

Stroke - Answer Coronary artery disease

Myocardial infarction

Stroke



A client with a family history of coronary artery disease reports experiencing chest pain and palpitations
during and after morning jogs. What would reduce the client's cardiac risk?

smoking cessation

a protein-rich diet

exercise avoidance

antioxidant supplements - Answer smoking cessation



The nurse is working with a client who has diagnoses of coronary artery disease and angina pectoris.
During a clinic visit, the nurse learns that the client has only been taking the prescribed antiplatelet
medication when the client experiences chest pain and fatigue. What nursing diagnosis is most relevant
to this assessment finding?

Acute pain related to myocardial ischemia

Confusion related to mismanagement of drug regimen

Ineffective health maintenance related to inappropriate medication use

Ineffective role performance related to inability to manage medications - Answer Ineffective health
maintenance related to inappropriate medication use



The nurse is educating a patient at risk for atherosclerosis. What nonmodifiable risk factor does the
nurse identify for the patient?

Stress

Obesity

Positive family history

Hyperlipidemia - Answer Positive family history

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