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 B

Explanation

A. Restraints should only be used as a last resort when all other options have been exhausted and there is an immediate risk to the safety of the client or others.
B. This option promotes safety by allowing for easier monitoring of the client while also preventing them from feeling completely confined. It can reduce anxiety and promote a sense of autonomy. It is a less restrictive approach than using restraints.

C.A back rub can be a soothing and calming intervention that may help the client relax and potentially improve sleep quality. However, while this is a good comfort measure, it does not directly address the immediate concern of wandering and confusion.
D. Administering sedatives should be approached cautiously, especially in older adults, due to the increased risk of adverse effects such as confusion, falls, and respiratory depression.

A. Determine the client's activity tolerance. B. Record the client's ability to perform ADLs safely. C. Teach the client to shorten the stride to prevent falls. D. Initiate a fall risk protocol for the client.

Correct Answer is B

Explanation

B. Observing the client's ability to ambulate with an upright posture and a smooth, steady gait suggests that the client has adequate mobility and balance, which are essential components of performing ADLs safely. Recording this assessment finding ensures that the client's functional status is documented accurately, which is important for care planning and monitoring changes in functional ability over time.
A. Determining the client's activity tolerance is also important, but it would typically follow after ensuring the safety and recording the baseline ability in performing ADLs.
C. While preventing falls is important, assuming that the client needs to shorten their stride based solely on the observed gait may not be appropriate.
D. Initiating a fall risk protocol may be premature based solely on the observation of an upright posture and smooth, steady gait.

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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

A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?

Correct Answer is B

Explanation

The nurse assesses an older adult client's ability to perform activities of daily living (ADLs). When observing the client ambulate. the nurse notes that the client's posture is upright, and the gait is smooth and steady. Which action should the nurse take next?

Correct Answer is B

Explanation

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