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?

BMI of 24

Type 1 diabetes mellitus

Family history of osteoporosis

Orthostatic hypotension

Answer and Explanation

The Correct Answer is B

A. A BMI of 24 is within the normal range and is not typically considered a significant risk factor for cardiovascular disease.
B. Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its

association with insulin deficiency and potential complications such as coronary artery disease.

C. Family history of osteoporosis is a risk factor for osteoporosis, not cardiovascular disease.

D. Orthostatic hypotension, while a medical condition, is not typically considered a direct risk factor for cardiovascular disease.

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Free Nursing Study Resources

Correct Answer is A, B, C, D, E

Explanation

To set up a sterile field for changing a dressing on an abdominal wound, the nurse should perform the following steps in sequence: First, prepare a dry work surface above waist level to ensure that the sterile field is maintained at a height that minimizes the risk of contamination. Next, open the outside cover of the sterile kit and carefully remove the dust cover, which protects the inner contents from contamination. Then, grasp the outermost flap of the sterile kit and open it away from the body, avoiding any abrupt movements that could compromise sterility. After that, open each side flap of the sterile kit individually, pulling them to the side and making sure not to reach over the sterile field. Finally, open the innermost lower flap of the sterile kit while standing away from the sterile field to prevent contamination from the nurse's clothing or body. These steps help maintain the sterility of the dressing and the instruments, which is crucial for preventing infection at the wound site.

A. Unnecessary sterile items are placed on the field. B. The sterile solution is poured with the bottle held over the field. C. The handle of a pair of sterile scissors is resting 5 cm (2 in) from the field's edge. D. A pair of sterile forceps is allowed to rest in a container of sterile water on the field.

Correct Answer is B

Explanation

A. Placing unnecessary sterile items on the field is not ideal, but it does not indicate contamination of the surgical field.

B. Pouring sterile solution with the bottle held over the field is an inappropriate technique since it breaches the sterility of the field.

C. The handle of a pair of sterile scissors resting 5 cm (2 in) from the field's edge does not indicate contamination of the surgical field. The scissors should be placed within easy reach of the nurse but should not touch non-sterile items.

D. Allowing sterile forceps to rest in a container of sterile does not affect the sterility of the field.

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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 preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A, B, C, D, E

Explanation

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

Correct Answer is B

Explanation

A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?

A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which of the following indicates the type of face mask the nurse should use to deliver the client a 90% oxygen concentration?

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.)

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?