Author Question: After reviewing information shown in the accompanying figure from the medical records of a ... (Read 78 times)

Alygatorr01285 · **on:** Jun 25, 2018

After reviewing information shown in the accompanying figure from the medical records of a 43-year-old, which risk factor modification for coronary artery disease should the nurse include in patient teaching?

a. Importance of daily physical activity
b. Effect of weight loss on blood pressure
c. Dietary changes to improve lipid levels
d. Ongoing cardiac risk associated with history of tobacco use

Question 2

A patient with diabetes mellitus and chronic stable angina has a new order for captopril (Capoten). The nurse should teach the patient that the primary purpose of captopril is to

a. lower heart rate.
b. control blood glucose levels.
c. prevent changes in heart muscle.
d. reduce the frequency of chest pain.

ladyjames123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The patient has an elevated low-density lipoprotein (LDL) cholesterol and low high-density lipoprotein (HDL) cholesterol, which will increase the risk of coronary artery disease. Although the blood pressure is in the prehypertensive range, the patient's waist circumference and body mass index (BMI) indicate an appropriate body weight. The risk for coronary artery disease a year after quitting smoking is the same as a nonsmoker. The patient's occupation indicates that daily activity is at the levels suggested by national guidelines.

Answer to Question 2

ANS: C
The purpose for angiotensin-converting enzyme (ACE) inhibitors in patients with chronic stable angina who are at high risk for a cardiac event is to decrease ventricular remodeling. ACE inhibitors do not directly impact angina frequency, blood glucose, or heart rate.