The Patient Had a Heart Attack in the Past and Currently

question 28

Multiple Choice

The patient had a heart attack in the past and currently is on digoxin (a cardiac glycoside) and a beta-blocker.What instructions should the nurse give to the patient?

• A) Withhold the medication if her blood pressure is above the normal range or her pulse is over 100 beats per minute
• B) Withhold the medication if her blood pressure is below the normal range and/or her pulse is less than 60 beats per minute
• C) Never withhold her medication. Take it and notify the physician at the next office visit
• D) Withhold her medication only if both her blood pressure and pulse rate are too high

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Definitions:

Type A Personality

A temperament characterized by high competitiveness, self-imposed stress, impatience, and a constant sense of urgency.

Time Urgency

A feeling of being under pressure to complete tasks or make decisions in a limited timeframe.

Perfectionism

A personality trait characterized by striving for flawlessness and setting excessively high performance standards, accompanied by critical self-evaluations.

General Adaptation Syndrome

A three-stage process (alarm, resistance, exhaustion) described by Hans Selye that the body goes through in response to stress.