Author Question: Which statement made by a patient with coronary artery disease after the nurse has completed ... (Read 129 times)

xroflmao · **on:** Jun 25, 2018

Which statement made by a patient with coronary artery disease after the nurse has completed teaching about therapeutic lifestyle changes (TLC) diet indicates that further teaching is needed?

a. I will switch from whole milk to 1 milk.
b. I like salmon and I will plan to eat it more often.
c. I can have a glass of wine with dinner if I want one.
d. I will miss being able to eat peanut butter sandwiches.

Question 2

After the nurse has finished teaching a patient about the use of sublingual nitroglycerin (Nitrostat), which patient statement indicates that the teaching has been effective?

a. I can expect some nausea as a side effect of nitroglycerin.
b. I should only take the nitroglycerin if I start to have chest pain.
c. I will call an ambulance if I still have pain after taking 3 nitroglycerin 5 minutes apart.
d. Nitroglycerin helps prevent a clot from forming and blocking blood flow to my heart.

Eazy416 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Although only 30 of the daily calories should come from fats, most of the fat in the TLC diet should come from monosaturated fats such as are found in nuts, olive oil, and canola oil. The patient can include peanut butter sandwiches as part of the TLC diet. The other patient comments indicate a good understanding of the TLC diet.

Answer to Question 2

ANS: C
The emergency medical services (EMS) system should be activated when chest pain or other symptoms are not completely relieved after 3 sublingual nitroglycerin tablets taken 5 minutes apart. Nitroglycerin can be taken to prevent chest pain or other symptoms from developing (e.g., before intercourse). Gastric upset (e.g., nausea) is not an expected side effect of nitroglycerin. Nitroglycerin does not impact the underlying pathophysiology of coronary artery atherosclerosis.