A patient who is recovering from a STEMI 3 months prior is in the clinic for a follow-up evaluation. The patient is taking 81 mg of aspirin, a beta blocker, and an ACE inhibitor daily and uses nitroglycerine as needed for angina
The patient's BMI is 24.5 kg/m2, and serum LDL is 150 mg/dL. The patient has a blood pressure of 135/80 mm Hg. What will the nurse expect the provider to order for this patient? a. An antihypertensive medication
b. Counseling about a weight loss diet
c. Discontinuing the ACE inhibitor
d. High-dose statin therapy
D
To help prevent recurrence of MI in patients post-STEMI, a high-dose statin should be given to patients with elevated cholesterol. This patient's blood pressure and BMI are normal, so antihy-pertensives and a weight loss diet are not recommended. The three drugs should be continued indefinitely.
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What does the nurse explains to parents of a child with febrile seizures?
a. They occur when the body temperature exceeds 38.3 ° C (101 ° F). b. They can be prevented by anticonvulsant medication. c. They usually lead to the development of epilepsy. d. They occur when the temperature rises quickly.
The patient is admitted with acute kidney injury from a postrenal cause. Acceptable treatments for that diagnosis include: (Select all that apply.)
a. bladder catheterization. b. increasing fluid volume intake. c. ureteral stenting. d. placement of nephrostomy tubes. e. increasing cardiac output.
The patient who has been diagnosed with metastatic cancer declines chemotherapy treatments. The nurse assists this patient in explaining this position to other health care providers. What advocacy model is this nurse exemplifying?
1. Patient advocate model 2. Values-based decision model 3. Rights protection model 4. Jurisprudence model
A nurse understands that a patient with a history of congestive heart failure has a low cardiac output resulting from
1. An expected increase in stroke volume. 2. A long history of pain and fatigue. 3. The low blood volume that accompanies congestive heart failure. 4. Weakened and damaged heart muscle.