Med Surg (Nur201)exam 2 Study Guide Practice Questions

Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome1. The nurse is developing a teaching plan for a 64-year-old patient with coronary artery disease (CAD). Which factor should the nurse focus on during the teaching sessionx?a. Family history of coronary artery diseaseb. Elevated low-density lipoprotein (LDL) levelc. Greater risk associated with the patients genderd. Increased risk of cardiovascular disease with agingANS: B RN should focus on the pts LDL level. LDL will help the pts risk for developing CAD.2. Which nursing intervention is likely to be most effective when assisting the pt w/ CAD to make appropriate dietary ?a. Inform the patient about a diet containing no saturated fat and minimal salt.b. Emphasize the increased cardiac risk unless the patient makes dietary changes.c. Help the patient modify favorite high-fat recipes by using monounsaturated oils.d. Give the patient a list of low-sodium, low-cholesterol foods to include in the diet.ANS: C Lifestyle changes are more likely to be successful when consideration is given to the patients values and preferences. The highest percentage of calories from fat should come from monounsaturated or polyunsaturated fats. 3. The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain is