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 A

Explanation

A. Asking the client about their expectations encourages them to share their feelings and desires regarding end-of-life care, which establishes a foundation for personalized care planning.

B. Offering spiritual support is important but should come after understanding the client’s specific expectations.

C. Family visitation is a supportive option, but understanding the client’s overall desires is more essential.

D. Nonpharmacological pain management is beneficial, but it should be discussed in the context of the client's expressed goals and preferences.

A. Provide the client with finger foods for meals. B. Restrict visitors during meals. C. Limit snacks between meals. D. Provide the client with three large meals each day.

Correct Answer is A

Explanation

A. Providing finger foods can enhance the client’s ability to feed themselves and may encourage eating, especially for clients with dementia who may have difficulty using utensils or concentrating on traditional meals. This approach promotes independence and can make meals more enjoyable and less stressful.

B. While reducing distractions can be helpful, completely restricting visitors might increase feelings of isolation and may not significantly impact food intake. A supportive social environment can enhance the meal experience.

C. Limiting snacks between meals can decrease overall caloric intake, which is counterproductive for a client at risk for malnutrition. Allowing healthy snacks can help maintain energy levels and supplement nutritional needs.

D. Providing three large meals may overwhelm a client with dementia, as they might struggle with portion sizes and meal structure. Smaller, more frequent meals can be more effective in encouraging intake and ensuring that the client receives adequate nutrition.

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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 has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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