Which statement by the patient would lead the nurse to believe that he has understood the teaching provided regarding angina?
A) "I will not exercise because it precipitates angina."
B) "As long as I take the medicine, I need make no lifestyle change."
C) "There is no correlation between my hypertension and angina."
D) "Heavy meals and cigarette smoking can precipitate an angina attack."
D
Feedback:
Avoid stressful activities, especially in combination. For example, if you eat a big meal, do not drink coffee or alcoholic beverages with that meal. If you have just eaten a big meal, do not climb stairs; rest for a while. However, exercise is important and should not be eliminated, but managed in coordination with other activities. Smoking causes vasoconstriction that can result in angina attacks so lifestyle changes like reducing fat and calories in the diet, moderate exercise, reducing alcohol intake and avoiding smoking are all healthful choices. Hypertension does increase the risk of angina and coronary artery disease.
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