Question

The nurse is working with a new client at the community clinic. The client is a 59-year-old African American female. The client’s mother was diagnosed with coronary artery disease at the age of 60. The client has a sedentary job but walks for 30 minutes every day on the weekend. Her waist circumference is 38 inches (96.52cm). Her blood pressure on this visit is 140/90 mm Hg. She stopped smoking six months ago.

Laboratory results are:

Triglycerides 250 mg/dL

HDL 45 mg/dL

LDL 150 mg/dL

Total cholesterol 300 mg/dL

The nurse establishes a NANDA -I nursing diagnosis of Deficient Knowledge related to coronary artery disease.

Initial Discussion Post:

Develop a teaching plan that addresses one of the client’s risk factors for coronary artery disease.

The teaching plan should consider cultural influences and must include:

a measurable patient centered outcome.

two (2) nursing interventions to help the client achieve the outcome.

an explanation of how each intervention will help the client achieve the outcome.

Answer 1

Teaching plan for a patient having family history of CAD

Patient must know the all modifiable and non modifiable risk factor of CAD like as family history,increasing age specially women,race specially-african americans,cigarete smoking,obesity,sedentary life style,type 2 diabetes stress,etc

Nurse should teach the patient sign and management of cardiac iachemia like take a rest and NTG when felling chest pain

Encourage the patient continous futher avoid smoking habits,weight control and exercise programm

Encourage the patient for dietary plan fit for CAD like as low choesterol, low fat,low sodium diet

Use of unsaturated fat

Use of fruits and vegetable in diet

Eliminate stimulant as coffee,tea,chocolate etc

Educate the patient for prophylactic medications

Reduce the anxity of patient for the disease

answered by: anonymous