A nurse is caring for a client
Exhibits
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)

History of hypertension

History of rheumatoid arthritis

Cholesterol level

History of hyperlipidemia

Fasting glucose level

Family history

Answer and Explanation

Correct Answer : A,C,D,F

C. Elevated cholesterol levels, as indicated by a total cholesterol level of 250 mg/dL, are a risk factor for heart disease. High cholesterol levels contribute to the buildup of plaque in the arteries (atherosclerosis), leading to narrowed or blocked arteries and an increased risk of heart attack and stroke.
D. Hyperlipidemia refers to elevated levels of lipids (fats) in the blood, including cholesterol and triglycerides. It is a significant risk factor for heart disease, as high levels of lipids contribute to the development of atherosclerosis and increase the risk of cardiovascular events.
F. A family history of heart disease, especially in first-degree relatives (parents or siblings), increases an individual's risk of developing heart disease. Genetic factors can influence the risk of heart disease, including conditions such as coronary artery disease and familial hypercholesterolemia.
B. Rheumatoid arthritis (RA) is an autoimmune disease that primarily affects the joints. While RA itself is not a direct risk factor for heart disease, chronic inflammation associated with RA can increase the risk of cardiovascular events.
E. While elevated fasting glucose levels can indicate impaired glucose metabolism or prediabetes, they are more directly associated with an increased risk of type 2 diabetes rather than heart disease.
However, individuals with diabetes are at higher risk for heart disease due to various factors, including obesity, high blood pressure, and dyslipidemia.

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Correct Answer is D

Explanation

D. Passive range-of-motion (ROM) exercises involve moving the client's joints through their full range of motion without the client's assistance. This helps prevent contractures, maintain joint mobility, and improve circulation. Repeating the movements 3 to 5 times is a standard practice for passive ROM exercises. This repetition helps promote joint flexibility and prevents stiffness. However, the exact number of repetitions may vary depending on the client's individual needs and tolerance.

A.Moving the joints quickly is not recommended for passive ROM exercises, as it can cause discomfort or injury to the client. These exercises should be performed slowly and gently to prevent strain or damage to the joints or surrounding tissues.
B. Performing passive ROM exercises once per day may not be sufficient for maintaining joint mobility, especially for clients with decreased mobility. These exercises are often performed multiple times throughout the day to maximize their benefits and prevent joint contractures.
C. Moving the joints to the point of mild pain is also not recommended for passive ROM exercises. The movements should be performed within the client's pain tolerance and should not cause discomfort or exacerbate pain. Pushing the joints beyond the point of mild pain can lead to injury or discomfort for the client.

A. Allow space for three fingers under the ties when securing. B. Cut the old ties after the new ties are secured. C. Use a quick-release knot to secure the ties. D. Extend the client's neck while securing the ties.

Correct Answer is B

Explanation

B. Ensuring the new ties are securely in place before removing the old ties prevents accidental displacement of the tracheostomy tube, which could lead to respiratory distress or other complications
A. Allowing space for three fingers under the ties would make the ties too loose, risking displacement of the tracheostomy tube. The correct practice is to allow space for one or two fingers to ensure the ties are snug enough to secure the tube without being too tight and causing discomfort or pressure injury.
C. Using a quick-release knot or Velcro ties is recommended because it allows for quick removal of the ties in case of an emergency, making it easier and faster to access the tracheostomy site if needed.
However, too loose knots can lead to dislodging of the tube.
D. Extending the client's neck while securing the ties is not recommended because it can cause discomfort and is not necessary for securing the tracheostomy ties. The client should be positioned comfortably with their neck in a neutral position to avoid unnecessary strain or discomfort.

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A nurse is caring for a client Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse is caring for a client
Exhibits
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)