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
Orthostatic hypotension
Type 1 diabetes mellitus
Family history of osteoporosis
The Correct Answer is C
A) BMI of 24 - A BMI of 24 falls within the normal range and is not considered a risk factor for cardiovascular disease.
B) Orthostatic hypotension - While orthostatic hypotension can be a sign of cardiovascular dysfunction, it is not a direct risk factor for cardiovascular disease.
C) Type 1 diabetes mellitus - Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its impact on blood sugar control and increased risk of atherosclerosis.
D) Family history of osteoporosis - While a family history of certain medical conditions can be indicative of genetic predispositions, osteoporosis is not directly linked to cardiovascular disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aspirated stomach contents' pH measures 6.5 (less than 5): A gastric pH greater than 5 suggests alkaline stomach contents, which may indicate bile reflux, but it is not necessarily an urgent concern.
B. Residual volume of stomach contents measures 90 mL: A residual volume greater than 50-100 mL may indicate delayed gastric emptying, which can affect medication absorption and increase the risk of aspiration. This finding should be reported to the provider for further evaluation.
C. Hyperactive bowel sounds are present: Hyperactive bowel sounds may indicate increased gastrointestinal motility but are not directly related to the administration of medications via a gastrostomy tube.
D. Stomach contents are yellowish-green in color: The color of stomach contents may vary based on diet and gastric secretions and does not necessarily indicate a need for immediate intervention.
Correct Answer is C
Explanation
A) The stoma protrudes slightly from the abdomen. - A slightly protruding stoma is a normal finding following colostomy surgery and does not require reporting.
B) The stoma bleeds lightly when touched. - Minor bleeding may occur, especially in the immediate postoperative period, and typically resolves without intervention.
C) The stoma appears dark in color. - A dark or dusky stoma may indicate compromised blood supply and should be reported promptly to the provider.
D) The stoma is draining a small amount of liquid stool. - Stoma output varies among individuals and can include liquid stool, which is a normal finding post-colostomy surgery.
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