Doug is a 67-year-old bus driver who recently had a myocardial infarction and underwent a triple bypass surgery. He didn't suffer any muscle damage to the heart. His nurse wants to discuss an exercise program with Doug
Which of the following statements best indicates that Doug is ready to change his behavior? A. "I used to eat a lot of snacks during the day; I know that wasn't good for me."
B. "I am looking forward to returning to work when I am discharged."
C. "I am so thankful that I didn't have any lasting effects from my heart attack."
D. "My wife is looking forward to me coming home."
A
Patients are more open to developing an exercise program if they are at the stage of readiness to change their behavior.
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A. Document the findings and reassure the parents. B. Elevate the scrotum and apply ice for 20 minutes. C. Notify the health-care provider immediately. D. Obtain informed consent for emergent surgery.
The nurse is caring for an 82-year-old patient. The nurse knows that changes in cardiac structure and function occur in older adults. What is a normal change expected in the aging heart of an older adult?
A) Decreased left ventricular ejection time B) Decreased connective tissue in the SA and AV nodes and bundle branches C) Thinning and flaccidity of the cardiac values D) Widening of the aorta
A patient would be considered for cardiac conduction surgery if which of the following are present?
A) Sinus bradycardia not responsive to other treatments B) Functional rhythms not responsive to other treatments C) Atrial and ventricular tachycardias not responsive to other treatments D) Ventricular fibrillation not responsive to other treatments