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."
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.
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