A nurse is caring for a client
ExhibitsA.History of hypertension
B.History of rheumatoid arthritis
C.Cholesterol level
D.History of hyperlipidemia
E.Fasting glucose level
F.Family history Correct
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.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
D. Demonstrates the nurse's commitment to advocating for the client's wishes and ensuring that their preferences are communicated to the healthcare provider. This response acknowledges the client's desire for ongoing treatment while also facilitating further discussion with the healthcare team about the available options and potential treatment modalities.
A. This may be premature and could be perceived as dismissive of the client's wishes. While hospice care may be appropriate for some clients with terminal illnesses, it should be introduced as an option after thorough discussion and consideration of the client's preferences and goals of care.
B. This may be blunt and insensitive, potentially causing distress or anxiety for the client. It is important to provide information about prognosis in a sensitive and empathetic manner, taking into account the client's emotional state and readiness to discuss such matters.
C. This may overlook the client's desire for continued treatment and may not fully address their concerns or needs. While encouraging the client to focus on quality of life and personal fulfillment is important, it should be done in conjunction with discussions about treatment options and goals of care.
Correct Answer is D
Explanation
D. Rolling the client as one unit in a smooth, continuous motion helps maintain proper alignment of the spine and minimizes the risk of exacerbating the injury. It also reduces the strain on the client's lower back and decreases the likelihood of causing discomfort or injury during the repositioning process.
A. This action is generally appropriate for repositioning a client with a lower back injury. Placing the client's arms at their sides helps maintain proper alignment of the spine and reduces the risk of injury or strain during the repositioning process. However, log rolling is recommended
B. Positioning the client on the side of the bed nearest the direction they will be turned increases the distance and effort required to perform the repositioning maneuver, increasing the risk of injury to both the client and the healthcare provider.
C. Flexing the client's knees can increase tension in the lower back and increase tension during repositioning.
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