A 55-year-old patient asks a nurse about taking aspirin to prevent heart disease. The patient does not have a history of myocardial infarction. Her cholesterol and blood pressure are normal, and she does not smoke
What will the nurse tell the patient?
a. Aspirin is useful only for preventing a second myocardial infarction.
b. She should ask her provider about using a P2Y12 ADP receptor antagonist.
c. She should take one 81 mg tablet per day to prevent myocardial infarction.
d. There is most likely no protective benefit for patients her age.
ANS: D
ASA is used for primary prevention of MI in men and in women older than 65 years. This patient has no previous history of MI, so the use of ASA is not indicated. ASA is useful for primary prevention, but only when indicated by cardiovascular risk, based on age, gender, cholesterol levels, blood pressure, and smoking status. A P2Y12 ADP receptor antagonist is used as secondary prevention. This patient should not begin taking ASA unless her risk factors change, or until she is 65 years old.
You might also like to view...
The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching has been effective?
1. "When a client arrives in labor, a urine specimen is obtained by catheter to check for protein and ketones." 2. "When a client arrives in labor, she will be positioned supine to facilitate a normal blood pressure." 3. "When a client arrives in labor, her prenatal record is reviewed for indications of domestic abuse." 4. "When a client arrives in labor, a vaginal exam is performed unless birth appears to be imminent."
Which Western cultural feature may result in establishing unrealistic outcomes for patients of other cultural groups?
a. Interdependence b. Present orientation c. Flexible perception of time d. Direct confrontation to solve problems
Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? The child:
a. plays with one toy for 30 minutes. b. repeats words spoken by a parent. c. holds the parent's hand while walking. d. spins around and claps hands while walking.
Which of the following is true of selective oral PDE5 inhibitors such as tadalafil?
A. They are approved for use in women to treat impotence. B. They increase or affect erection in men who are not impotent. C. They selectively block cGMP in the penis. D. They do not affect erection that is not a result of sexual stimulation.