A client with coronary artery disease asks the nurse why breathing gets difficult only when going upstairs. The nurse should respond that:
1. "Climbing the stairs requires increased oxygen demands on the heart."
2. "Climbing the stairs is stressful as we age."
3. "Increased glucose levels in the blood impede breathing."
4. "A deposit of HDL cholesterol in the arteries causes the problem."
Answer: 1
1. Due to the deposit of plaque in the coronary arteries, increased exercise increases the heart's demand for oxygen. Because of plaque, the arteries are narrowed and not enough oxygen can get to the heart quickly enough.
2. It is the increased exercise, not the stress of climbing stairs, which is not seen as a stressful activity in most people.
3. Glucose does not impede breathing.
4. HDL is good cholesterol. The cholesterol that helps form plaque in the arteries is LDH.
You might also like to view...
A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills. During the physical examination, the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are
callused. What further actions will the nurse perform? (Select all that apply.) A. A weight assessment B. Assessment for depression C. Draw blood for electrolytes D. Discussion about anorexia nervosa E. Discussion about bulimia
The nurse is preparing a patient for an ECG. Which of the following should be done prior to electrode placement?
A) Cleaning the skin with povidone-iodine solution prior to applying the electrodes B) Ensuring that the area for electrode placement is dry C) Applying tincture of benzoin to the electrode sites and waiting for it to become "tacky" D) Abrading the skin by rubbing the electrode sites briskly with a rough surface such as a clean, dry gauze or washcloth
According to Suchman, what does assuming the sick role mean to a person?
A. Seeks help and shares the problem with family and friends B. Goes under the control of a physician who plans a treatment of care C. Seeks scientific confirmation that something is wrong D. Is aware that something is wrong and responds emotionally
The implementation of an electronic health record (EHR) could enhance patient care by facilitating:
a. communication across the health care continuum. b. diabetes mellitus education and ongoing care delivery. c. one-on-one counseling between the pro-vider and the client. d. physical and occupational therapy dis-pensing errors.