The nurse is educating a client who has just been started on Zetia (exetimibe). What does the nurse say to educate the client?

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Question 1 of 5

The nurse is educating a client who has just been started on Zetia (exetimibe). What does the nurse say to educate the client?

Correct Answer: B

Rationale: The correct answer is B because Zetia (ezetimibe) should be taken at least 2 hours before or 4 hours after a bile acid sequestrant to avoid interactions that may decrease its absorption. Choice A is incorrect as Zetia can be taken with or without food. Choice C is incorrect as there is no specific restriction on taking Zetia with milk. Choice D is incorrect as Zetia can be taken with a statin drug, but the dosing schedule should be adjusted if taken with a bile acid sequestrant.

Question 2 of 5

The client has a third degree AV block. The definitive treatment for this rhythm is what?

Correct Answer: C

Rationale: The correct answer is C: Pacemaker. A third-degree AV block is a complete block of electrical signals between the atria and ventricles, leading to a slow heart rate and potential hemodynamic instability. The definitive treatment is to implant a pacemaker to regulate the heart rate and ensure proper conduction. Adenosine (A) is used for supraventricular tachycardias, not AV blocks. Epinephrine (B) and dopamine (D) are used for treating bradycardia in emergency situations but are not definitive treatments for third-degree AV block.

Question 3 of 5

Which statement made by a patient with coronary artery disease after the nurse has completed teaching about the therapeutic lifestyle changes (TLC) diet indicates that further teaching is needed?

Correct Answer: D

Rationale: The correct answer is D because peanut butter is a good source of healthy fats and protein, which can be included in a TLC diet in moderation. Switching to 1% milk (A) reduces saturated fat intake, eating salmon (B) provides omega-3 fatty acids, and having a glass of wine (C) in moderation may have cardiovascular benefits. Peanut butter can be part of a heart-healthy diet, so the patient does not need to eliminate it completely.

Question 4 of 5

A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?

Correct Answer: C

Rationale: The correct action is to auscultate for a pericardial friction rub (Choice C). This is because the patient's symptoms of chest pain that worsens with deep breaths and improves with leaning forward suggest pericarditis, a common complication post-MI. A pericardial friction rub is a classic sign of pericarditis. Assessing the feet for pedal edema (Choice A) is not relevant to the presenting symptoms. Palpating radial pulses bilaterally (Choice B) and checking the heart monitor for dysrhythmias (Choice D) are not the priority in this situation.

Question 5 of 5

Which assessment finding by the nurse caring for a patient who has had coronary artery bypass grafting using a right radial artery graft is most important to communicate to the health care provider?

Correct Answer: B

Rationale: The correct answer is B: Pallor and weakness of the right hand. This finding could indicate impaired circulation to the right hand due to a complication related to the radial artery graft. Impaired circulation could lead to ischemia or even graft failure, which are serious concerns post coronary artery bypass grafting. This information is crucial to communicate to the health care provider for immediate intervention to prevent further complications. Incorrect choices: A: Complaints of incisional chest pain - While chest pain is important to monitor post-surgery, it is a common occurrence and may not indicate a serious complication. C: Fine crackles heard at both lung bases - This finding may suggest fluid overload or pulmonary issues, but it is not directly related to the radial artery graft or its complications. D: Redness on both sides of the sternal incision - Redness at the incision site can be a sign of infection, but it is not as urgent as the potential circulation issue in the right hand, which could

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