A client with coronary artery disease (CAD) asks the nurse about ...

[dollx]

A client with coronary artery disease (CAD) asks the nurse about taking fish oil supplements. What response by the nurse is best?
 
  a. Fish oil is contraindicated with most drugs for CAD.
  b. The best source is fish, but pills have benefits too.
  c. There is no evidence to support fish oil use with CAD.
  d. You can reverse CAD totally with diet and supplements.

Question 2

A client has presented to the emergency department with an acute myocardial infarction (MI). What action by the nurse is best to meet The Joint Commission's Core Measures outcomes?
 
  a. Obtain an electrocardiogram (ECG) now and in the morning.
  b. Give the client an aspirin.
  c. Notify the Rapid Response Team.
  d. Prepare to administer thrombolytics.

[Bsand8]

Answer to Question 1

ANS: B
Omega-3 fatty acids have shown benefit in reducing lipid levels, in reducing the incidence of sudden cardiac death, and for stabilizing atherosclerotic plaque. The best source is fish three times a week or some fish oil supplements. The other options are not accurate.

Answer to Question 2

ANS: B
The Joint Commission's Core Measures set for acute MI require that aspirin is administered when a client with MI presents to the emergency department or when an MI occurs in the hospital. A rapid ECG is vital, but getting another one in the morning is not part of the Core Measures set. The Rapid Response Team is not needed if an emergency department provider is available. Thrombolytics may or may not be needed.

[dollx]

Thanks for the timely response, appreciate it

[ricroger]

Gracias!