The cardiologist has told the patient and family that the diagnosis is hypertrophic cardiomyopathy. Later they ask the nurse what the patient did wrong to cause this condition. The nurse explains:
a. "This is a result of a high-cholesterol diet and poor exercise habits."
b. "The heart has not been getting enough aerobic exercise and has developed this condition. In cardiac rehabilitation they will work with the patient to strengthen his heart through special exercises."
c. "This is an inherited condition. You should give serious consideration to having family members screened for it."
d. "This is a result of clot formation in the blood vessels in the heart. We will need to use medications to reduce the risk of further clotting."
C
Hypertrophic cardiomyopathy is a genetically inherited disease that affects the myocardial sarcomere.
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The nurse would follow all of the following guidelines when doing nutritional counseling with an older female except:
a. limit alcohol to 1 drink per day b. limit water intake to 1000 cc per day c. limit fat and cholesterol d. ensure adequate calcium and vitamin D intake
The nurse is planning to help a client with smoking cessation. What is the most helpful plan for this client?
1. Have the client tested for a genetic tendency toward heavy smoking. 2. Enroll the client in a hotline support group for smoking cessation. 3. Discuss the health effects of smoking at each clinic visit. 4. Include the client's family in discussions about smoking cessation.
The nurse is providing patient education for a patient who will be undergoing long-term therapy with procainamide (Procanbid). The nurse is discussing possible adverse effects and should in-clude the possible development of
a. a lupuslike syndrome. b. hypertension. c. pulmonary fibrosis. d. bronchospasm.
Adaptive leadership provides a prescriptive approach to leadership that is useful and practical. What are these prescriptions?
a. The adaptive work that takes place b. The leader behaviors used c. Correctly identifying the situational challenge d. The change in followers once adaptation occurs