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?

Choice A Reason:

Chicken is incorrect. Chicken is a type of poultry and is a meat product. Lacto-vegetarians do not consume meat, including poultry, as part of their dietary choices.

Choice B Reason:

Clam chowder is incorrect. Clam chowder is a soup typically made with clams and often contains ingredients like broth or cream, which may not align with a lacto-vegetarian diet. It includes seafood, which is excluded in lacto-vegetarian dietary practices.

Choice C Reason:

Tuna fish is incorrect. Tuna fish is a type of seafood and is not consumed in lacto-vegetarian diets. Lacto-vegetarians exclude all types of fish and seafood from their diet and primarily consume dairy products along with plant-based foods.

Given that the client follows a lacto-vegetarian diet, the most appropriate food choice from the options provided would be:

Choice D is Reason:

Cheese is correct. A lacto-vegetarian diet includes dairy products but excludes meat and seafood. Cheese, being a dairy product, aligns with the lacto-vegetarian dietary pattern as it is derived from milk and fits within the dietary preferences of this individual.

Choice A Reason:

Checking the medical record for the client's signature on a previous consent form is incorrect. While a previous consent form might exist in the medical records, for certain procedures or situations, specific, current consent for each instance is often necessary. Verifying a previous consent form may not ensure the client's informed consent for the current procedure.

Choice B Reason:

Having another nurse co-sign the client's consent is incorrect. Co-signing a client's consent by another nurse doesn't substitute for the client's own signature and may not adequately verify the client's informed decision and understanding of the procedure.

Choice C Reason:

Obtaining verbal consent from the client is incorrect. While obtaining verbal consent is important, for invasive procedures like catheter insertion, it's essential to have written, witnessed consent to ensure proper documentation and confirmation that the client is fully informed and agrees to the procedure.

Choice D Reason:

Witnessing the client's signature on a consent form is correct. Express consent for medical procedures typically involves the client signing a consent form after being adequately informed about the procedure, its potential risks, benefits, and alternatives. Witnessing the client's signature on a consent form ensures that the client has provided informed consent for the specific procedure.