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

Author Question: Following an acute myocardial infarction, a previously healthy 63-year-old develops clinical ... (Read 86 times)

javeds

  • Hero Member
  • *****
  • Posts: 570
on: Jun 25, 2018
Following an acute myocardial infarction, a previously healthy 63-year-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about
 
  a. digitalis preparations.
  b. -adrenergic blockers.
  c. calcium channel blockers.
  d. angiotensin-converting enzyme (ACE) inhibitors.

Question 2

While admitting an 82-year-old with acute decompensated heart failure to the hospital, the nurse learns that the patient lives alone and sometimes confuses the water pill with the heart pill.
 
  When planning for the patient's discharge the nurse will facilitate a
  a. consult with a psychologist.
  b. transfer to a long-term care facility.
  c. referral to a home health care agency.
  d. arrangements for around-the-clock care.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

laurnthompson

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
ACE inhibitor therapy is currently recommended to prevent the development of heart failure in patients who have had a myocardial infarction and as a first-line therapy for patients with chronic heart failure. Digoxin therapy for heart failure is no longer considered a first-line measure, and digoxin is added to the treatment protocol when therapy with other medications such as ACE-inhibitors, diuretics, and -adrenergic blockers is insufficient. Calcium channel blockers are not generally used in the treatment of heart failure. The -adrenergic blockers are not used as initial therapy for new onset heart failure.

Answer to Question 2

ANS: C
The data about the patient suggest that assistance in developing a system for taking medications correctly at home is needed. A home health nurse will assess the patient's home situation and help the patient develop a method for taking the two medications as directed. There is no evidence that the patient requires services such as a psychologist consult, long-term care, or around-the-clock home care.


javeds

  • Member
  • Posts: 570
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

cpetit11

  • Member
  • Posts: 321
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Androgens modulate the inflammatory response during acute wound healing Androgens modulate the inflammatory response during acute wound healing
External and cross-sectional view of an infarct caused by a myocardial infarction. External and cross-sectional view of an infarct caused by a myocardial infarction.
Acute Respiratory Distress Acute Respiratory Distress
A healthy diet is made up of well-balanced nutrients. A healthy diet is made up of well-balanced nutrients.
Acute arthritis of the finger joints. Acute arthritis of the finger joints.
The year 2010 was the hottest since 1880 The year 2010 was the hottest since 1880
Video: Role of the respiratory system - effect of altered ventilation rates

For a complete list of videos, visit our video library