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

B. Smoking is a significant risk factor for the development of cardiovascular disease, as it contributes to the narrowing and hardening of the arteries, increases blood pressure, reduces oxygen supply to tissues, and promotes the formation of blood clots.

A. Chronic stress can contribute to cardiovascular disease by raising blood pressure, increasing heart rate, and promoting inflammation.

C. Regular physical activity is crucial for cardiovascular health. It helps strengthen the heart muscle, lower blood pressure, improve cholesterol levels, control weight, and reduce stress.

D. A low-fat diet, particularly one that is high in fruits, vegetables, whole grains, and lean proteins, can help lower cholesterol levels, reduce blood pressure, and manage weight, all of which are important for heart health.

Although A, C, D play a role in preventing cardiovascular disease, smoking is the major risk factor for cardiovascular disease.

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Correct Answer is B

Explanation

B. When applying restraints, ensuring that they can be quickly released is essential for maintaining the safety and well-being of the client. This is especially important in cases where restraints are used to prevent harm or injury to the client, as they should only be used as a last resort and for the shortest duration necessary.

A. Checking capillary refill provides valuable information about peripheral perfusion and the adequacy of blood flow to the extremities. However, ensuring the restraints can be released easily is more crucial.

C. While replacing the nasogastric tube may be necessary if it has been removed, it's not the most immediate concern after applying wrist restraints. The priority is to ensure the safety and comfort of the patient with the restraints in place.

D. Reinserting the peripheral IV catheter may be necessary if it has been dislodged. However, it's not the most critical action immediately after applying wrist restraints.

A. Advise the client that lifestyle changes often take several weeks to be effective. B. Determine the amount of weight the client has lost since increasing activity. C. Encourage the client to exercise every day to eliminate bedtime wakefulness. D. Ask the client to describe the exercise schedule that he has been following.

Correct Answer is D

Explanation

D. The most appropriate action for the nurse to take is to gather more information about the client's exercise schedule. This will help the nurse assess whether the client's exercise regimen may be contributing to or exacerbating the insomnia. Understanding the timing, intensity, and duration of the client's aerobic workouts can provide insights into potential factors affecting sleep patterns.

A. Advising the client that lifestyle changes often take several weeks to be effective is a valid point. However, it does not directly address the potential impact of exercise timing on sleep.

B. Determining the amount of weight the client has lost since increasing activity may provide useful information about the client's progress with weight loss but does not directly address the issue of difficulty falling asleep.

C. Encouraging the client to exercise every day to eliminate bedtime wakefulness is not necessarily appropriate, as excessive or late-night exercise may exacerbate rather than alleviate bedtime wakefulness in some individuals.

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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 has a prescription for bilateral soft wrist restraints for an older adult client who has repeatedly removed the nasogastric (NG) tube and IV catheters. After applying the restraints, which action is most important for the nurse to take?

Correct Answer is B

Explanation

A client tells the nurse about starting an aerobic workout program to lose weight and help with insomnia. The client states that it still takes over an hour to fall asleep at night. Which action should the nurse implement?

Correct Answer is D

Explanation

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. Which action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

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