Which patient at the cardiovascular clinic requires the most ...

[V@ndy87]

Which patient at the cardiovascular clinic requires the most immediate action by the nurse?
 
  a. Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL
  b. Patient with stable angina whose chest pain has recently increased in frequency
  c. Patient with familial hypercholesterolemi a and a total cholesterol of 465 mg/dL
  d. Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg

Question 2

To improve the physical activity level for a mildly obese 71-year-old patient, which action should the nurse plan to take?
 
  a. Stress that weight loss is a major benefit of increased exercise.
  b. Determine what kind of physical activities the patient usually enjoys.
  c. Tell the patient that older adults should exercise for no more than 20 minutes at a time.
  d. Teach the patient to include a short warm-up period at the beginning of physical activity.

[welcom1000]

Answer to Question 1

ANS: B
The history of more frequent chest pain suggests that the patient may have unstable angina, which is part of the acute coronary syndrome spectrum. This will require rapid implementation of actions such as cardiac catheterization and possible percutaneous coronary intervention. The data about the other patients suggest that their conditions are stable.

Answer to Question 2

ANS: B
Because patients are more likely to continue physical activities that they already enjoy, the nurse will plan to ask the patient about preferred activities. The goal for older adults is 30 minutes of moderate activity on most days. Older adults should plan for a longer warm-up period. Benefits of exercises, such as improved activity tolerance, should be emphasized rather than aiming for significant weight loss in older mildly obese adults.