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

Author Question: A nurse provides teaching to a patient with angina who also has type 2 diabetes mellitus, asthma, ... (Read 93 times)

Deast7027

  • Hero Member
  • *****
  • Posts: 538
on: Jul 23, 2018
A nurse provides teaching to a patient with angina who also has type 2 diabetes mellitus, asthma, and hypertension. Which statement by the patient indicates a need for further teaching?
 
  a. An ACE inhibitor, in addition to nitroglycerin, will lower my risk of cardiovascular death.
  b. Beta blockers can help control hypertension.
  c. I should begin regular aerobic exercise.
  d. Long-acting, slow-release calcium channel blockers can help with anginal pain.

Question 2

A nursing student asks a nurse how beta blockers increase the oxygen supply to the heart in the treatment of anginal pain. The nurse tells the student that beta blockers:
 
  a. dilate arterioles to improve myocardial circulation.
  b. improve cardiac contractility, which makes the heart more efficient.
  c. increase arterial pressure to improve cardiac afterload.
  d. increase the time the heart is in diastole.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

iman

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Beta blockers can be used for angina in most patients but are contraindicated in patients with asthma, because they cause bronchoconstriction . ACE inhibitors help reduce the risk of death in patients with hypertension. Regular aerobic exercise is recommended to control weight and improve cardiovascular function. Long-acting, slow-release CCBs are recommended for patients who have coexisting type 2 diabetes.

Answer to Question 2

ANS: D
Beta blockers increase the time the heart is in diastole, which increases the time during which blood flows through the myocardial vessels, allowing more oxygen to reach the heart. Beta blockers do not dilate arterioles. They do not increase cardiac contractility; they decrease it, which reduces the cardiac oxygen demand. They do not increase arterial pressure, which would increase the cardiac oxygen demand.


Deast7027

  • Hero Member
  • *****
  • Posts: 538
Reply #2 on: Jul 23, 2018
Thanks


iman

  • Sr. Member
  • ****
  • Posts: 334
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

An onager, one type of wild ass An onager, one type of wild ass
Patient Position for Posterior Percussion Patient Position for Posterior Percussion
Patient teaching - eye assessment Patient teaching - eye assessment
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ... Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Video: Otitis Media

For a complete list of videos, visit our video library