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A client with angina has been informed by the provider that lifestyle changes should be made to prevent an MI.  Which of the following could be included in that plan of prevention?  SELECT ALL THAT APPLY

A 62 y/o male is arriving from EMS with chest pain.   Nurse’s Note:  12/16/23 1010: 62 y/o male c/o crushing sternal pain, radiating down the left arm. States the pain becomes worse with activity and started approximately two hours ago while shoveling snow. Patient states he is also short of breath with activity. Pt is ALOx3. Lungs clear throughout. Abd soft, nontender, bowel sounds active. Pt states urinary output is “normal” with no c/o of odor, pain, pressure. Skin is C/D/I. 18G in the left forearm.      Vital Signs:  98.4 F, HR – 99, RR – 18, BP 162/89, Pulse Ox: 93% on RA    ECG:  Sinus Tachycardia rate 99 bpm. ST elevation noted in V3 and V4    Laboratory Results:  Lab  Results  Reference Range:  WBC  9 x 10^3 cells/mm3  4500–11,000/mm3  RBC  5.3 × 106/μL  4.7-6.1 × 106/μL  Hgb  15.8 g/dL  Male: 14–17.4 g/dL  Hct  44%  Male: 42–52%  Plts  254,000/mm3  140,000–400,000/mm3  Na  144 mEq/L  135-147 mEq/L  Cl  104 mEq/L  95-106 mEq/L  K  4.8 mEq/L  3.5-5.3 mEq/L  CO2  29 mEq/L  22-30 mEq/L  BUN  12 mg/dL  6-20 mg/dL  Cr  1.1 mg/dL  0.6-1.3 mg/dL  Troponin T  0.7 ng/mL  0-0.04 ng/mL  Creatine Kinase MB (CK-MB)  187 IU/L  5-25 IU/L  Cholesterol  265 mg/dL  240 high    H&P:  62 y/o male lives independently at home with spouse of 40 years. Came in on 12/16/23 after shoveling snow c/o crushing sternal pain, radiating down the left arm. States he stopped shoveling after 30mins of pain, and the pain continued. The pain becomes worse with activity and started approximately two hours ago. Patient states he also became short of breath with activity.     Wt: 102.3 kgs  Ht: 5’9”  BMI: 33.2    PMH: DMII, HLD, GERD, Asthma, Sleep apnea, Smoker 1/2 pack per day    Family Hx:  Mother – Alive – DMII, CAD, CHF, COPD  Father – Deceased at 52 – MI, CAD  Sibling – Alive – CAD, DMII     Diet: High in carbohydrates, protein; poor in fresh fruits/vegetables.     Occupation: Owns own business – landscaping     Order:  Morphine 0.5mg IV  Aspirin 325mg PO  Nitroglycerin – titrate gtt per protocol  Metoprolol 50mg PO  Oxygen Therapy- maintain O2 > 92%, up to 6L  Thrombolytic Therapy per protocol  Monitor neuro status  Insert 2nd IV  What is the nurse’s priority action?  

The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?

A client who has been diagnosed with hypertension and angina also has diabetes mellitus and smokes. The nurse would question an order for which of the following cardiac medication?

A student nurse is taking care of an elderly patient with hypertension during a clinical experience. The instructor asks the student about the relationships between BP and age. What would be the best answer by the student?

A client has a blood pressure reading of 146/96 mmHg. Upon hearing the reading, he exclaims, “My pressure has never been this high. Will I need to take medication to reduce it?” Which of the following responses by the nurse would be best?

Which of the following are associated with Prinzmetal’s angina?  SELECT ALL THAT APPLY

The signs/symptoms of alterations in which of the following laboratory values may be blocked in a client taking metoprolol?

In reviewing a client’s blood lipid concentrations, the nurse observes the following findings: Total cholesterol = 190 mg/dl Triglycerides = 140 mg/dl High density lipoprotein (HDL) = 25 mg/dl Low density lipoprotein (LDL) = 175 mg/dl Which of these interpretations of the findings is accurate?

A client is admitted to the hospital after experiencing retrosternal chest pain that radiates down his left arm. When obtaining a nursing history of cardiac pain, which question is most relevant?