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. - Precise Answer ✔✔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. - Precise Answer ✔✔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:
acceptance of changed health status.
, an internal locus of control.
feelings of loss of control.
projection. - Precise Answer ✔✔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. - Precise Answer ✔✔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.
a need for cooking classes.
an individual coping behavior. - Precise Answer ✔✔an individual
coping behavior.
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