A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Orthostatic hypotension

Type 1 diabetes mellitus

Family history of osteoporosis

BMI of 24

Answer and Explanation

The Correct Answer is B

A. Orthostatic hypotension is not a direct risk factor for cardiovascular disease, though it can be related to other health issues.

B. Type 1 diabetes mellitus increases the risk for cardiovascular disease due to chronic hyperglycemia, which can damage blood vessels over time.

C. Osteoporosis is a risk for bone health but is not a cardiovascular risk factor.

D. A BMI of 24 is within the normal range and does not pose a cardiovascular risk.

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Correct Answer is C

Explanation

A. Documentation is important but should occur after addressing the client’s concerns.

B. Returning the medication is appropriate if the client ultimately refuses it, but initial discussion is needed first.

C. Informing the client of the potential consequences of refusing their medication respects their autonomy while ensuring they understand how it may impact their health. This is the first step to address concerns and provide education.

D. Notifying the provider is necessary if the client continues to refuse after education, as the provider may need to adjust the prescription.

A. Squeeze the client's finger until a blood drop forms. B. Prick the side of the client's finger. C. Elevate the client's hand above the level of the heart. D. Cleanse the client's finger with an iodine swab. E. Apply clean gloves.

Correct Answer is ["B","E"]

Explanation

A. Squeezing the client’s finger should be avoided as it can cause hemolysis and affect the accuracy of the blood sample.

B. Pricking the side of the client’s finger is recommended as it tends to be less painful and reduces tissue damage.

C. Elevating the hand above the heart level could reduce blood flow, making it more difficult to obtain a sample.

D. An alcohol swab, not iodine, is typically used to cleanse the site for a capillary blood draw, as iodine can interfere with certain lab results.

E. Applying clean gloves is a standard precaution to prevent contamination and protect both the nurse and the client.

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A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse. "I'm not going to take this medication because it makes me sick and dizzy." Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

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