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Chapter 34: Problem 126

While preparing a client for discharge, which of the following should be included in the discharge instructions for a client who received stents during a heart catheterization? A. Eat foods high in fat B. Exercise daily C. Limit fruits and vegetables D. Increase intake of garlic

Short Answer

Expert verified
B. Exercise daily

Step by step solution

01

Understanding the Question

Identify what the question is asking. The question requires determining what advice should be included in discharge instructions for a client who received stents during a heart catheterization.
02

Evaluate Each Option

Consider the implications of each option provided:A. Eat foods high in fat - This is not advisable for someone with heart issues as it can lead to increased cholesterol levels.B. Exercise daily - Regular exercise can improve heart health and is often recommended after such procedures.C. Limit fruits and vegetables - Fruits and vegetables are beneficial for heart health; limiting them would not be advisable.D. Increase intake of garlic - Garlic can have heart health benefits but increasing its intake is not commonly a standard discharge instruction.
03

Eliminate Incorrect Options

Using the evaluation from Step 2, eliminate options that are incorrect or not recommended:A. Eat foods high in fat - Eliminate because it's not heart-healthy.C. Limit fruits and vegetables - Eliminate because these are beneficial for heart health.D. Increase intake of garlic - Eliminate as it is not a standard recommendation.
04

Confirm the Correct Answer

The remaining option is B. Exercise daily, which is usually a safe and beneficial recommendation for maintaining heart health post-procedure.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

post-catheterization discharge instructions
After a heart catheterization and the placement of stents, it is crucial to provide clients with clear and comprehensible discharge instructions to promote recovery and long-term heart health. Careful post-catheterization management helps mitigate complications and supports optimal heart function.

Instruct the patient to:
  • Take medications as prescribed, including antiplatelet drugs to prevent stent blockage.
  • Avoid heavy lifting and strenuous activities for the first few days to prevent complications.
  • Keep the catheterization site clean and dry to prevent infection. They should monitor for any signs of infection, such as redness, swelling, or unusual pain, and report these to their healthcare provider immediately.
  • Follow a heart-healthy diet low in saturated fats and cholesterol to prevent further arterial blockages.
  • Schedule follow-up appointments to monitor recovery and the state of the heart post-procedure.
These instructions help ensure that clients recover safely and maintain the integrity of the stents.
heart health management
Managing heart health after a stent procedure involves several lifestyle modifications and routine medical monitoring to keep the heart functioning optimally.

Key aspects include:
  • Adhering to medication regimens, particularly for antiplatelet and blood pressure medicines, which prevent clot formation and control blood pressure respectively.
  • Engaging in regular, moderate exercise such as walking, to improve cardiovascular health and prevent further heart complications.
  • Adopting a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and low-fat dairy products can significantly reduce the risk of future heart issues. It is particularly important to limit the intake of sodium, sugar, and unhealthy fats.
  • Monitoring and managing cholesterol and blood pressure levels regularly to identify and address any issues swiftly.
  • Avoiding smoking and significant alcohol consumption as these can adversely affect heart health.
Implementing these strategies aides in maintaining heart health and prevent additional cardiac events.
nursing client education
Nurses play a vital role in educating clients post-catheterization to ensure their understanding and compliance with health management plans.

Effective client education involves:
  • Utilizing clear, straightforward language to explain the importance of medication adherence and the potential consequences of non-compliance.
  • Providing written instructions and resources that clients can refer to at home for reinforcement.
  • Encouraging clients to ask questions and express concerns to address any misunderstandings or anxieties they may have.
  • Teaching clients how to recognize and respond to signs of complications, such as signs of infection at the catheterization site, chest pain, or unusual fatigue.
  • Collaborating with other healthcare providers to ensure a cohesive care plan and follow-up routine is in place.
  • Offering support groups or additional educational resources for clients who may need extra help with lifestyle changes.
By prioritizing comprehensive and individualized education, nurses help clients feel empowered and proactive in managing their heart health.

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Most popular questions from this chapter

A teenager has been admitted to the hospital unit with a diagnosis of appendicitis. While awaiting the start of surgery, it becomes apparent that the appendix has ruptured. At this time, in what position will the nurse maintain the client? A. Prone B. High Fowlers C. Left side-lying D. Trendelenburg

Using the Parkland formula ( \(4 \mathrm{ml}\) of lactated ringer's solution/\% TBSA burn/kg body weight/24 hours), the nurse would calculate fluid replacement for a \(70-\mathrm{kg}\) client with a \(50 \%\) TBSA burn over 24 hours as A. \(1400 \mathrm{ml}\) B. \(14,000 \mathrm{ml}\) C. \(6720 \mathrm{ml}\) D. \(700 \mathrm{ml}\)

A client has had a PICC line for 2 weeks which is being used for intermittent infusion of an antibiotic. Between uses, the PlCC line is heparinized and locked. The nurse is ready to administer the PM dose of antibiotic. The nurse flushes the line which flushes easily, but is unable to aspirate blood. The nurse should: A. administer the medication as planned. B. ask for x-ray verification of the PICC placement. C. discontinue this PICC line and insert a new PICC line, D. hold the dose until the physician sees the client in the AM.

Which is an appropriate nursing intervention for a client diagnosed with schizophrenia? A. Maintain a slightly higher level of environmental stimuli than usual. B. Prevent the client from lapsing into periods of silence of longer than 5 minutes. C. Tell the client if you do not understand what is being communicated. D. Be warm with a show of positive emotion when interacting with the client.

A child is found to be allergic to milk. To ensure adequate calcium intake, which foods would the nurse recommend be included in the child's diet? A. Coffee and tea B. Pork and ground beef C. Fruits such as apples and pears D. Green leafy vegetables such as collard greens and spinach
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