1. A 45-year-old male patient with a history of hypertension and smoking

presents to the clinic with chest pain, dyspnea, and diaphoresis. He is

diagnosed with an acute myocardial infarction (AMI) and is admitted to

the coronary care unit. Which of the following interventions is most

appropriate for this patient to prevent further complications and promote

recovery?

a) Administer aspirin, nitroglycerin, morphine, and oxygen as prescribed.

b) Encourage the patient to quit smoking and reduce salt intake.

c) Provide education on the signs and symptoms of AMI and when to

seek medical attention.

d) Refer the patient to a cardiac rehabilitation program after discharge.

*Answer: a) Administer aspirin, nitroglycerin, morphine, and oxygen as

prescribed.*

Rationale: This is the most appropriate intervention for this patient

because it addresses the immediate needs of relieving pain, improving

blood flow, reducing cardiac workload, and preventing further clot

formation. The other options are also important for long-term health

promotion and disease prevention, but they are not as urgent or specific

to this patient's condition.

2. A 65-year-old female patient with a history of osteoporosis and

rheumatoid arthritis is seen in the clinic for a routine follow-up. She

reports that she has been taking calcium and vitamin D supplements,

doing weight-bearing exercises, and avoiding alcohol and caffeine. She

also says that she has been experiencing some side effects from her

medication for rheumatoid arthritis, such as nausea, abdominal pain,

and mouth ulcers. Which of the following actions is most appropriate for

this patient to prevent adverse effects and promote adherence to her

medication regimen?

a) Advise the patient to take her medication with food or milk.

b) Suggest the patient to switch to a different medication that has fewer

side effects.

c) Instruct the patient to stop taking her medication if she develops any

signs of infection or bleeding.

d) Monitor the patient's liver function tests and complete blood count

regularly.

*Answer: d) Monitor the patient's liver function tests and complete blood

count regularly.*

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