This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse provides teaching to a patient with angina who also has type 2 diabetes mellitus, asthma, ... (Read 30 times)

Deast7027

  • Hero Member
  • *****
  • Posts: 538
on: Jul 23, 2018
A nurse provides teaching to a patient with angina who also has type 2 diabetes mellitus, asthma, and hypertension. Which statement by the patient indicates a need for further teaching?
 
  a. An ACE inhibitor, in addition to nitroglycerin, will lower my risk of cardiovascular death.
  b. Beta blockers can help control hypertension.
  c. I should begin regular aerobic exercise.
  d. Long-acting, slow-release calcium channel blockers can help with anginal pain.

Question 2

A nursing student asks a nurse how beta blockers increase the oxygen supply to the heart in the treatment of anginal pain. The nurse tells the student that beta blockers:
 
  a. dilate arterioles to improve myocardial circulation.
  b. improve cardiac contractility, which makes the heart more efficient.
  c. increase arterial pressure to improve cardiac afterload.
  d. increase the time the heart is in diastole.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

iman

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Beta blockers can be used for angina in most patients but are contraindicated in patients with asthma, because they cause bronchoconstriction . ACE inhibitors help reduce the risk of death in patients with hypertension. Regular aerobic exercise is recommended to control weight and improve cardiovascular function. Long-acting, slow-release CCBs are recommended for patients who have coexisting type 2 diabetes.

Answer to Question 2

ANS: D
Beta blockers increase the time the heart is in diastole, which increases the time during which blood flows through the myocardial vessels, allowing more oxygen to reach the heart. Beta blockers do not dilate arterioles. They do not increase cardiac contractility; they decrease it, which reduces the cardiac oxygen demand. They do not increase arterial pressure, which would increase the cardiac oxygen demand.


Deast7027

  • Hero Member
  • *****
  • Posts: 538
Reply #2 on: Jul 23, 2018
Thanks


iman

  • Sr. Member
  • ****
  • Posts: 334
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Patient teaching: ear assessment Patient teaching: ear assessment
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Asthma and emphysema. Asthma and emphysema.
A typical distributor-type diesel injection pump showing the pump, lines, and fuel filter. A typical distributor-type diesel injection pump showing the pump, lines, and fuel filter.
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Video: Bulk flow - factors that influence bulk flow

For a complete list of videos, visit our video library