A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?

Stress reduction.

Smoking cessation.

Regular exercise.

Low fat diet.

Answer and Explanation

The Correct Answer is B

A.   While stress management is important for overall health, it is not as directly linked to cardiac disease as smoking cessation.
B.   Smoking is a primary risk factor for heart disease, and quitting smoking significantly reduces the risk of heart attack and stroke.
C.   Exercise is crucial for heart health, but it's not as immediate an impact as quitting smoking.
D.   A healthy diet is essential for heart health, but it's not as impactful as quitting smoking in terms of immediate risk reduction.

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Correct Answer is A

Explanation

A. Waste of controlled substances must be witnessed by another healthcare professional to maintain accurate medication records and prevent medication diversion.
B. While having a witness is good practice, simply throwing the vial into the trash is not the correct procedure for disposing of controlled substances.
C. Unused portions of controlled substances should be discarded according to facility policy, which typically involves witnessing and proper documentation.
D. This is absolutely incorrect and unsafe. This action could lead to medication errors and patient harm.

A. Elevate the head of the bed to a 45-degree angle. B. Lift and lack the side rails in place. C. Remove dentures or other oral appliance. D. Apply the client's positive airway pressure device.

Correct Answer is D

Explanation

A. While this is beneficial for general postoperative care and can help with airway management, it's not as effective as using a positive airway pressure device for a client with severe OSA.
B. This is a standard safety precaution but does not directly address the client's respiratory risk.
C. While removing dentures can help with airway management in some cases, it's not the most critical intervention for a client with severe OSA.
D. This is the most important intervention. Opioids can exacerbate OSA and increase the risk of respiratory depression. Applying the positive airway pressure device will help maintain airway patency and prevent potential respiratory complications.

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A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL. vial. Which action should the nurse perform with the remainder of the medication?

Correct Answer is A

Explanation

A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving, the client alone?

Correct Answer is D

Explanation

The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?

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The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?

A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?