A community health nurse teaches a group of seniors at an assisted living facility about modifiable risk factors that contribute to the development of peripheral arterial disease (PAD). The nurse knows that the teaching was effective based on which of the following statements?
“I will need to stop smoking because the nicotine causes less blood to flow to my hands and feet.”
“The older I get the higher my risk for peripheral arterial disease gets.”
“Since my family is from Italy, I have a higher risk of developing peripheral arterial disease.”
“I will need to increase the amount of green leafy vegetables I eat to lower my cholesterol levels.”
The Correct Answer is A
A. “I will need to stop smoking because the nicotine causes less blood to flow to my hands and feet.”
Explanation: This statement reflects an understanding of the association between smoking and reduced blood flow, particularly due to nicotine's vasoconstrictive effects.
B. “The older I get the higher my risk for peripheral arterial disease gets.”
Explanation: While age is a non-modifiable risk factor for PAD, it is not a statement indicating a change in behavior to address risk factors. It is correct information but doesn't involve a proactive approach to risk reduction.
C. “Since my family is from Italy, I have a higher risk of developing peripheral arterial disease.”
Explanation: Family history is a non-modifiable risk factor, and the statement correctly identifies this risk factor. However, it doesn't address modifiable factors or actions to reduce risk.
D. “I will need to increase the amount of green leafy vegetables I eat to lower my cholesterol levels.”
Explanation: This statement demonstrates an understanding of a dietary modification to lower cholesterol levels, which is a positive step toward reducing a modifiable risk factor for PAD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “I will have canned chicken noodle soup with crackers and an apple for lunch.”
This option may not be the best choice for a low-sodium diet. Canned soups often contain high levels of sodium.
B. “I will have a tossed salad with cheese and croutons for lunch.”
This option is a better choice, as salads with fresh vegetables can be lower in sodium compared to other options.
C. “I will have a ham and cheese sandwich for lunch.”
Ham and cheese are generally high in sodium, so this would not be a suitable choice for a low-sodium diet.
D. “I will have a baked potato with broiled chicken for dinner.”
This option seems to be a good choice. Baked potato and broiled chicken can be part of a low-sodium meal.
Correct Answer is D
Explanation
A. Intake and output:
Intake and output refer to monitoring the amount of fluids a person consumes (intake) and eliminates (output) through urine, feces, and other means. While tracking fluid intake and output is important, it may not provide a direct indication of excess fluid retention.
B. Pitting pedal edema:
Pitting pedal edema is swelling in the lower extremities, particularly the ankles and feet, that leaves an indentation (pit) when pressure is applied. This can be a sign of fluid retention but may not always be the earliest or most reliable indicator.
C. Crackles in the bases of the lungs:
Crackles or rales in the bases of the lungs can be indicative of pulmonary congestion, which may occur due to fluid accumulation. However, crackles alone may not always be specific to fluid overload and can be present in other respiratory conditions.
D. Daily weights:
Daily weights are a critical and sensitive measure for assessing fluid balance. Sudden weight gain, especially over a short period, can be a strong indicator of fluid retention. Monitoring weight on a daily basis helps to detect changes early, allowing for prompt intervention.
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