Nursing Care for CAD and Nutrition Management
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Questions and Answers

What is a critical factor for improving health outcomes in patients at risk for CAD?

  • Engaging in social events
  • Increasing calorie intake
  • Quitting smoking (correct)
  • Following a high-fat diet

    • Which activity is recommended to promote cardiovascular health in patients?

  • Watching television for relaxation
  • Practicing yoga only
  • Engaging in continuous aerobic activity (correct)
  • Increasing sedentary behavior

    • How should a nurse encourage patients to approach exercise if they are currently sedentary?

  • Begin with 5 minutes of exercise and gradually increase (correct)
  • Start with 30 minutes of intense exercise
  • Only exercise on weekends
  • Avoid any physical activity initially

    • What psychosocial support strategy should the nurse implement for patients making lifestyle changes?

    <p>Help identify support persons and systems</p> Signup and view all the answers

    What should the nurse provide to enhance patients' ability to manage their CAD risk factors?

    <p>Resource materials from recognized organizations</p> Signup and view all the answers

    What is one of the main focuses of nursing care for patients with CAD?

    <p>Reducing cardiac workload</p> Signup and view all the answers

    Which waist-to-hip ratio indicates a potential need for nutritional intervention in females?

    <p>0.8</p> Signup and view all the answers

    What is an appropriate recommended weight loss goal for patients?

    <p>1 to 1.5 pounds per week</p> Signup and view all the answers

    Which resource should a nurse recommend to patients for education on healthy eating?

    <p>Low-fat cookbooks from reputable sites</p> Signup and view all the answers

    What might be an important psychosocial aspect to address with patients learning about their heart condition?

    <p>Coping with fear and anxiety</p> Signup and view all the answers

    Which of the following is NOT a recommended nursing intervention for promoting balanced nutrition?

    <p>Encourage the use of fad diets</p> Signup and view all the answers

    What is an effective way to help patients achieve sustainable weight loss?

    <p>Emphasizing gradual dietary changes</p> Signup and view all the answers

    Which statement best describes the nursing role in cardiac rehabilitation?

    <p>Delivering direct interventions and health education</p> Signup and view all the answers

    Study Notes

    Nursing Care for Patients with CAD, Angina, and AMI

    • Focuses on:
      • Improving cardiac output (CO)
      • Reducing cardiac workload
      • Maximizing function
      • Teaching patients self-care to reduce the risk of further cardiac damage
    • Emphasizes holistic care, addressing:
      • Psychosocial
      • Spiritual
      • Cultural needs in addition to physical ones
    • Patients may need help coping with fear and anxiety

    Promoting Balanced Nutrition

    • Considered for patients with:
      • Obesity
      • Waist-to-hip ratio greater than 0.8 (females) or 0.9 (males)
      • High dietary fat and cholesterol
    • Nursing interventions:
      • Assess food intake and eating patterns
      • Review daily intake to evaluate fat and cholesterol
      • Review restaurant menus for meals eaten away from home
      • Refer patients to a dietitian for additional education
      • Recommend low-fat cookbooks or recipes from reputable sources like the American Heart Association
      • Emphasize gradual dietary changes to avoid frustration and discouragement
      • Promote evidence-based diets for weight loss, not fad diets
      • Recommend realistic weight loss goals of 1 to 1.5 lbs per week, or a 10% weight loss over 6 months
      • Promote recognized programs like WW (formerly Weight Watchers) for support and long-term changes

    Promoting Effective Health Maintenance

    • Nursing interventions:
      • Outline risk factors for CAD
      • Explain that managing modifiable risk factors reduces overall risk
      • Refer to structured smoking cessation program
      • Provide resources from the AHA, American Cancer Society, and American Lung Association
      • Emphasize the benefits of quitting smoking at any stage
      • Explain the importance of psychosocial support for long-term lifestyle changes
      • Help patients identify support persons and systems
      • Encourage patients to find enjoyable forms of exercise or physical activity
      • Recommend starting with 5 minutes of exercise and gradually increasing to 30 minutes per session
      • Promote 30 minutes of continuous aerobic activity four to five times a week
      • Suggest finding an "exercise buddy" for motivation
      • Instruct patients on medications including name, dose, and other details for accurate administration

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    Description

    This quiz covers nursing care strategies for patients with coronary artery disease (CAD), angina, and acute myocardial infarction (AMI). It emphasizes holistic approaches, including psychosocial, spiritual, and cultural needs, alongside promoting balanced nutrition for risk reduction. Test your knowledge on effective nursing interventions and dietary recommendations for heart health.

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