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The nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu?
- A. Tea
- B. Cola
- C. Coffee
- D. Lemonade
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When assisting a hospitalized client newly diagnosed with coronary artery disease (CAD) to make appropriate selections from the dietary menu, which meal should the nurse encourage the client to select?
- A. Sausage, pancakes, and toast
- B. Broccoli, buttered rice, and grilled chicken
- C. Hamburger, baked apples, and avocado salad
- D. Fresh strawberries, steamed vegetables, and baked fish
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has just completed an information session about measures to minimize the progression of coronary artery disease (CAD). Which statement indicates an initial understanding of lifestyle alterations?
- A. I should take daily medication for life.
- B. I should eat a diet that is low in fat and cholesterol.
- C. I should continue to smoke to keep the metabolic rate high.
- D. I should begin to exercise if the diet is not sufficient to achieve weight loss.
Correct Answer: B
Rationale: Choosing a diet that is low in fat and cholesterol is crucial for managing and preventing the progression of coronary artery disease (CAD). This dietary change can help reduce the risk of further complications associated with CAD, such as plaque buildup in the arteries. It is a fundamental lifestyle alteration that can positively impact the client's heart health.
The healthcare professional is collecting data on a client who was just admitted to the hospital with a diagnosis of coronary artery disease (CAD). The client reveals having been under a great deal of stress recently. What should the healthcare professional do next?
- A. Ask whether the client wants to seek counseling or therapy.
- B. Explore with the client the sources of stress in their life.
- C. Reassure the client that stress is common in today's world.
- D. Ask the client to make a list of stressors for later evaluation.
Correct Answer: B
Rationale: It is important for the healthcare professional to explore the sources of stress with the client to develop an effective stress management plan tailored to the individual's specific stressors. This approach can help in identifying triggers, implementing appropriate interventions, and supporting the client's overall well-being.
An ambulatory clinic nurse is interviewing a client who is complaining of flu-like symptoms. The client suddenly develops chest pain. Which question best assists the nurse in discriminating pain caused by a non-cardiac problem?
- A. Can you describe the pain to me?
- B. Have you ever had this pain before?
- C. Does the pain get worse when you breathe in?
- D. Can you rate the pain on a scale of 1 to 10, with 10 being the worst?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A hypertensive client who has been taking metoprolol (Lopressor) has been prescribed to decrease the dose of the medication. The client asks the nurse why this must be done over a period of 1 to 2 weeks. In formulating a response, the nurse incorporates the understanding that abrupt withdrawal could affect the client in which way?
- A. Result in hypoglycemia
- B. Give the client insomnia
- C. Precipitate rebound hypertension
- D. Cause enhanced side effects of other prescribed medications
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.