Following an acute myocardial infarction a previously healthy 63 yr old develops clinical manifestations of heart failure the nurse anticipates discharge teaching will include information about?

Correct Answer: A

Rationale: The correct answer is A: Angiotension converting enzyme (ACE) inhibitors. Post-myocardial infarction, ACE inhibitors are crucial in managing heart failure by reducing afterload, improving cardiac function, and preventing adverse remodeling. ACE inhibitors also decrease mortality rates in patients with heart failure. Beta blockers (B) are also important but are typically initiated later in the treatment plan. Calcium channel blockers (C) are not first-line agents in heart failure treatment. Diuretics (D) are used to manage fluid overload but are not specifically indicated for post-myocardial infarction heart failure management.

Correct Answer: B

Rationale: The correct answer is B because respecting patients' values and beliefs is essential in providing culturally sensitive care. This fosters trust and promotes effective communication and understanding. Ignoring differences (A) can lead to misunderstandings and ineffective care. Convincing patients to change beliefs (C) is unethical and disrespectful. Refusing care (D) goes against the nursing code of ethics and denies patients access to care based on their cultural or religious backgrounds. Respecting diversity is crucial in delivering patient-centered care.

Correct Answer: B

Rationale: The correct answer is B: diagnosing. In the nursing process, diagnosing involves analyzing assessment data to identify actual and potential health problems. In this scenario, the nurse is identifying a potential issue with normal growth and development based on assessment findings. Assessing (A) is the data collection step, planning (C) involves developing interventions, and implementing (D) is the action step. Diagnosing is the appropriate step to identify the specific problem and guide the care plan.

Correct Answer: B

Rationale: The correct answer is B: may be up as desired. "Up ad lib" means the patient can be up and moving around as much as they feel comfortable or desire. This implies freedom of movement and no restrictions on physical activity. Choices A, C, and D are incorrect because they impose specific limitations on the patient's activity level, which contradicts the meaning of "up ad lib."

Correct Answer: C

Rationale: The correct answer is C: ANA. The American Nurses Association (ANA) provides a comprehensive definition and scope of practice for nursing in the United States. ANA establishes standards, guidelines, and policies to guide nursing practice and ensure quality patient care. Incorrect choices: A: ICN - The International Council of Nurses (ICN) is a global organization that represents nurses worldwide, but it does not specifically define the scope of nursing practice in the U.S. B: AAN - The American Academy of Nursing (AAN) is an organization that focuses on recognizing nursing excellence and leadership, but it does not set standards for nursing practice. D: The Joint Commission - The Joint Commission is a healthcare accreditation organization that focuses on patient safety and quality improvement, but it does not provide a specific definition and scope of practice for nursing.