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.
BMI of 24.
Type 1 diabetes mellitus.
Family history of osteoporosis.
The Correct Answer is C
Choice A rationale
Orthostatic hypotension is characterized by a sudden drop in blood pressure when standing up, often due to dehydration, medication side effects, or autonomic dysfunction. While concerning, it is not a direct risk factor for cardiovascular disease.
Choice B rationale
A BMI of 24 is within the normal range (18.5–24.9) and is not considered a risk factor for cardiovascular disease. Maintaining a healthy BMI is part of cardiovascular disease prevention.
Choice C rationale
Type 1 diabetes mellitus significantly increases the risk of cardiovascular disease due to its impact on blood vessels and the heart. It is a well-documented risk factor requiring careful management.
Choice D rationale
A family history of osteoporosis is relevant for bone health but does not directly increase the risk of cardiovascular disease. Cardiovascular risk factors are more closely related to metabolic and lifestyle factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering vaginal cream is a medication administration task requiring knowledge and skills within the licensed nurse's scope of practice. Assistive personnel (AP) are not authorized to perform this procedure due to the potential for complications and the need for clinical judgment.
Choice B rationale
Providing postmortem care is a task that AP can perform as it involves basic care activities, such as bathing and positioning, which do not require specialized nursing skills. This allows the nurse to focus on more complex patient needs.
Choice C rationale
Suctioning a tracheostomy is a procedure that requires clinical assessment and intervention skills. Due to the potential for complications, it is within the licensed nurse's scope of practice, not the AP's.
Choice D rationale
Changing a peripheral IV dressing involves assessment skills and requires sterile technique to prevent infection. This task is beyond the scope of practice for AP and should be performed by a licensed nurse.
Correct Answer is A
Explanation
Choice A rationale
Avoid placing toilet tissue in the bedpan after defecation to prevent contamination of the stool specimen. Toilet tissue can introduce foreign substances that may interfere with lab results.
Choice B rationale
Urinate after the specimen collection is incorrect because urine can contaminate the stool sample. The client should urinate before collecting the stool specimen to avoid mixing the two.
Choice C rationale
Placing 1.3 cm (0.5 in) of formed stool into a culture tube is insufficient for a proper stool sample. Typically, a larger sample is needed to ensure enough material is available for testing.
Choice D rationale
Keeping the specimen in a warm area is incorrect because stool samples should be kept in a cool environment to preserve the integrity of the specimen until it can be analyzed.
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