The patient with cardiovascular disease must be taught how to ...

[Jkov05]

The patient with cardiovascular disease must be taught how to reduce the risk of cardiovascular disease by balancing calorie intake with exercise to maintain a healthy body weight. In addition to this, the nurse instructs the patient to
 
  a. Eat fish at least 5 times per week.
  b. Limit saturated fat to less than 7.
  c. Limit cholesterol to less than 200 mg/day.
  d. Avoid high-fiber foods.

Question 2

On admitting a client, the nurse finds a history of myocardial ischemia. What is the most disconcerting dysrhythmia that electrocardiography can reveal for this client?
 
  a. Sinus bradycardia
  b. Sinus dysrhythmia
  c. Ventricular tachycardia
  d. Atrial fibrillation

[Leostella20]

Answer to Question 1

B
AHA guidelines recommend limiting saturated fat to less than 7, trans fat to less than 1, and cholesterol to less than 300 mg/day. Diet therapy includes eating fish at least 2 times per week and eating whole grain high-fiber foods.

Answer to Question 2

C
Ventricular tachycardia would be the most disconcerting dysrhythmia of the four options. Ven-tricular tachycardia results in a decreased cardiac output; it may lead to severe hypotension, loss of pulse, and unconsciousness.
Sinus bradycardia would not be of concern for this client. It is of no clinical significance unless it is associated with signs and symptoms of a decreased cardiac output.
Sinus dysrhythmia is of no clinical significance unless dizziness occurs with a decreased heart rate.
Atrial fibrillation is not as detrimental as ventricular tachycardia.