A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?

Choice A Reason:

Type 1 diabetes mellitus is correct. Type 1 diabetes is considered a risk factor for cardiovascular disease due to its potential impact on blood vessels and the heart over time. Individuals with diabetes, especially poorly controlled diabetes, are at a higher risk of developing cardiovascular complications such as heart disease, stroke, and peripheral vascular disease.

Choice B Reason:

Orthostatic hypotension is incorrect. Orthostatic hypotension refers to a drop-in blood pressure when moving from a lying or sitting position to a standing position. While it can cause symptoms like dizziness or lightheadedness, it's not typically considered a direct risk factor for cardiovascular disease. However, it might be associated with other conditions or medications that could contribute to cardiovascular issues indirectly.

Choice C Reason:

BMI of 24 is incorrect. A BMI (Body Mass Index) of 24 falls within the normal weight range. While obesity (especially central obesity or higher BMIs) is a known risk factor for cardiovascular disease, having a BMI of 24 by itself is not considered a significant risk factor for developing cardiovascular issues.

Choice D Reason:

Family history of osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones, not directly related to cardiovascular disease. A family history of osteoporosis doesn't inherently indicate an increased risk of cardiovascular disease unless there are other associated factors or conditions within the family history that contribute to cardiovascular issues.

Choice A Reason:

"I cannot confirm or deny that we have a client by that name." This response respects the patient's right to confidentiality under HIPAA (Health Insurance Portability and Accountability Act) regulations. It neither confirms nor denies the patient's presence in the hospital, preserving the patient's privacy and confidentiality.

Choice B Reason:

"I will tell him you called." This response doesn't uphold patient confidentiality. Revealing that the employer called could indirectly confirm the patient's presence in the hospital, potentially breaching confidentiality.

Choice C Reason:

"The client's condition is stable right now." Sharing any information about the patient's condition with someone who hasn't been authorized to receive it breaches patient confidentiality. Even sharing a seemingly benign statement about stability can indirectly disclose the patient's presence in the hospital.

Choice D Reason:

"He is here in the hospital, but I cannot tell you anything else. “While it refrains from divulging more information, it still confirms the patient's presence in the hospital, breaching confidentiality.