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?

Regular exercise.

Smoking cessation.

Low fat diet.

Stress reduction.

Answer and Explanation

The Correct Answer is B

B. Smoking is a major risk factor for cardiovascular disease, including coronary artery disease, peripheral artery disease, and stroke. Encouraging smoking cessation is crucial because it can significantly reduce the risk of developing cardiac-related complications.
A. While regular physical activity is crucial for overall health, in terms of priority, other lifestyle modifications may have a more immediate impact on reducing cardiac risk factors.
C. While dietary modifications are important, they may not have as immediate and direct an impact on reducing cardiac risk factors as smoking cessation.
D. While stress reduction techniques, such as mindfulness, meditation, relaxation exercises, and stress management strategies, can be beneficial for overall health, their impact on reducing cardiac risk factors may be more indirect and variable compared to other lifestyle modifications.

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Correct Answer is A

Explanation

A. Encouraging the client to visualize positive external places, such as peaceful landscapes, serene beaches, or tranquil gardens, can help distract from the pain and promote relaxation. This focus can help shift the client's attention away from the pain sensation, potentially reducing its intensity and improving overall comfort.
B. Tranquil sounds can be utilized but are not a form of guided imagery.

C. Emotional reflection (choice C) may not directly contribute to pain relief during guided imagery sessions.
D. Incorporating motivational phrases during guided imagery can help boost the client's mood, enhance self-confidence, and foster a positive mindset, which may contribute to pain relief and overall well- being. However, positive external places should be the primary focus.

A. Request removal initiated by the Health Information Manager. B. Create an electronic correction after 1400 notes are officially unlocked. C. Make an electronic addendum following the 1400 documentation. D. Enter the occurrence after the 1400 notes and identify as "late entry".

Correct Answer is D

Explanation

D. "Late entry" documentation is a common practice used to indicate that the entry was made after the designated time period. This allows for accurate recording of events while maintaining the integrity of the medical record. By entering the occurrence after the 1400 notes and clearly identifying it as a late entry, the nurse ensures that the information is documented appropriately and is easily identifiable as having been entered after the intended time.
A. This might be appropriate if the previously entered information was incorrect or inaccurate, and it needs to be completely removed from the record. However, it might not be necessary if the information is simply incomplete or if adding an addendum is sufficient.
B. Corrections are typically used to fix errors or inaccuracies in documentation, rather than adding new information that was missed. Adding a correction may not be the best approach for documenting a missed occurrence from a previous time, as it may not provide proper context or clarity.
C. An addendum is typically added to a patient's medical record to provide supplementary information or clarification regarding a specific aspect of the patient's care or condition.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is using guided imagery with a client who is experiencing chronic pain. The nurse should direct the client's attention on which focus?

Correct Answer is A

Explanation

After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?

Correct Answer is D

Explanation

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