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42.After reviewing information shown in the accompanying figure from the medical records of a 43-yr-old patient, which risk factor modification for coronary artery disease should the nurse include in patient teaching?a.Importance of daily physical activityb.Effect of weight loss on blood pressurec.Dietary changes to improve lipid levelsd.Cardiac risk associated with previous tobacco useANS:CThe patient has an elevated low-density lipoprotein cholesterol and low high-density lipoprotein cholesterol, which will increase the risk of coronary artery disease. Although the blood pressure is in the prehypertensive range, the patient’s waist circumference and body mass index indicate an appropriate body weight. Therisk for coronary artery disease a year after quitting smoking is the same as a nonsmoker. The patient’s occupation indicates that daily activity is at the levels suggested by national guidelines.DIF:Cognitive Level: Analyze (analysis)REF: 703TOP:Nursing Process: PlanningMSC:NCLEX: Health Promotion and Maintenance43.After reviewing a patient’s history, vital signs, physical assessment, and laboratory data, which information shown in the accompanying figure is mostimportant for the nurse to communicate to the health care provider?
DIF:Cognitive Level: Analyze (analysis)REF: 720OBJ: Special Questions: PrioritizationTOP:Nursing Process: AssessmentMSC:NCLEX: Safe and Effective Care Environment
Chapter 35: DysrhythmiasLewis: Medical-Surgical Nursing, 10th EditionMULTIPLE CHOICE1.To determine whether there is a delay in impulse conduction through the ventricles,the nurse will measure the duration of the patient’sa.P wave.c.PR interval.b.Q wave.d.QRS complex.ANS:DThe QRS complex represents ventricular depolarization. The P wave represents thedepolarization of the atria. The PR interval represents depolarization of the atria, atrioventricular node, bundle of His, bundle branches, and the Purkinje fibers. The Q wave is the first negative deflection following the P wave and should be narrow and short.DIF:Cognitive Level: Understand (comprehension)REF: 759TOP:Nursing Process: AssessmentMSC:NCLEX: Physiological Integrity