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concept of nursing 1
Coronary Artery Diseasse
Question | Answer |
---|---|
How would the nurse explain to the patient with coronary artery disease (CAD) why chronically elevated levels of C-reactive protein (CRP) are a good predictor of CAD? | “Chronically elevated CRP levels are associated with plaque formation.” |
The nurse identifies which patient as being at greatest risk for coronary artery disease (CAD)? | 80-year-old woman with hyperlipidemia |
When assessing a patient with coronary artery disease (CAD), which finding is expected? | Swelling in the legs |
A patient returns to the office after starting statin therapy. Which statement by the patient would indicate the need for further assessment by the nurse? | “I am having trouble walking.” |
A patient at risk for coronary artery disease (CAD) has a serum triglyceride level of 160 mg/dL and a low-density lipoprotein (LDL) level of 180 mg/dL. Which dietary recommendations by the nurse are crucial for reducing the risk for CAD in this patient? | -Eliminate alcohol -Eat more broccoli -Eat more shellfish |
The nurse is assessing a patient with coronary artery disease (CAD) for response to lipid-lowering therapy. Which question is a priority for the nurse to ask in order to determine the effectiveness of the therapy? | “Have you had any chest pain in the last week?” |
A patient at high risk for development of coronary artery disease (CAD) indicates that the necessary lifestyle changes to decrease the risk for disease are too difficult. (part one) | -- |
How should the nurse respond to help the patient understand the importance of making necessary changes?( part 2) | -"Are you aware of the major risk factors for CAD that you have?" -"What aspect of your current lifestyle is most important for you to maintain?" |
Which statement by the patient with coronary artery disease (CAD) demonstrates understanding of how to modify dietary fat intake by substituting monounsaturated or polyunsaturated fats for saturated fats? | “I ordered a cheese with egg white sandwich.” |
A patient’s spouse asks the nurse about alternative methods to reduce coronary artery disease (CAD) risk factors because of potential side effects of a medication prescribed for her husband. Which response by the nurse is appropriate? | Discuss gradually increasing physical activity. |