A few days after experiencing a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, “It was just a little chest pain. As soon as I get out of here, I’m going for my vacation as planned.” Which reply would be most appropriate for the nurse to make?

Correct Answer: C

Rationale: Rationale: Choice C is correct because it addresses the patient's perception and gently introduces the idea that plans may need to change post-MI. It acknowledges the patient's experience while subtly hinting at the importance of considering adjustments for health reasons. Summary of Incorrect Choices: A: This choice focuses on the cause of chest pain, which is not the immediate concern post-MI. B: While discussing vacation plans is relevant, it does not address the patient's potentially unrealistic expectations. D: While recovery time is important, stating a specific timeline may not be necessary or applicable to every patient's situation.

Correct Answer: D

Rationale: The correct answer is D, as all choices are important lifestyle changes for a client with coronary artery disease. Smoking cessation reduces the risk of heart disease, exercise helps improve heart health, and weight reduction can lower the strain on the heart. Each choice addresses a different aspect of managing coronary artery disease, making all of them essential for overall well-being. Therefore, it is crucial for the client to adopt all of these changes to effectively manage their condition and reduce the risk of complications.

Correct Answer: B

Rationale: The correct answer is B because diltiazem is a calcium channel blocker that primarily works by lowering both heart rate and blood pressure. It does not directly affect urine output. Therefore, choice A is incorrect as it only mentions blood pressure. Choice C is incorrect because diltiazem does not increase urine output. Choice D is incorrect because while it mentions heart rate and blood pressure, the increase in urine output is not a direct effect of diltiazem.

Correct Answer: D

Rationale: The correct answer is D: Check the infant's apical pulse for 1 minute. Before administering digoxin, it is crucial to assess the infant's apical pulse because digoxin is a medication that affects the heart rate. By checking the apical pulse, the nurse can determine the baseline heart rate and assess for any irregularities or changes that may indicate digoxin toxicity. This step is essential to ensure the medication is safe for the infant. Incorrect choices: A: Taking the infant's blood pressure is not necessary before administering digoxin, as the focus should be on assessing the heart rate specifically. B: Checking the respiratory rate is not directly related to digoxin administration and does not provide crucial information about the medication's effects. C: Checking the radial pulse is not as accurate as checking the apical pulse when assessing the heart rate, which is critical before giving digoxin.

Correct Answer: A

Rationale: Rationale for Correct Answer A: 1. Administering metoprolol and hydrochlorothiazide is appropriate as they are commonly prescribed antihypertensive medications. 2. Holding captopril is correct because it is contraindicated with hydrochlorothiazide due to increased risk of hyperkalemia. 3. Notifying the physician is necessary for further guidance and potential alternative treatment options. Summary of Incorrect Choices: B: Administering captopril with hydrochlorothiazide is not recommended due to potential adverse effects. Holding metoprolol without a valid reason is not indicated. C: Administering all medications without considering drug interactions is unsafe and may lead to harmful effects. D: Withholding all medications without proper justification can result in uncontrolled hypertension and potential complications.