A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching?
"Increasing my intake of foods containing trans-fatty acids can lower my risk."
"Adding foods containing omega-3 fatty acids to my diet can lower my risk."
"A weight loss program can decrease my LDL cholesterol level."
"Exercising regularly will increase HDL cholesterol levels."
The Correct Answer is A
A. "Increasing my intake of foods containing trans-fatty acids can lower my risk." - This statement is incorrect. Trans-fatty acids are associated with an increased risk of cardiovascular disease. The client should be advised to reduce or eliminate the consumption of foods containing trans fats.
B. "Adding foods containing omega-3 fatty acids to my diet can lower my risk." - This statement is correct. Omega-3 fatty acids, found in fish and certain plant sources, have been associated with a decreased risk of cardiovascular disease.
C. "A weight loss program can decrease my LDL cholesterol level." - This statement is correct. Weight loss, especially in the context of a healthy diet and regular exercise, can contribute to a decrease in LDL (low-density lipoprotein) cholesterol levels.
D. "Exercising regularly will increase HDL cholesterol levels." - This statement is correct. Regular exercise is associated with an increase in HDL (high-density lipoprotein) cholesterol, which is considered beneficial for heart health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Foot ulcers: Foot ulcers are more commonly associated with the later stages of peripheral arterial disease (PAD) when there is significant impairment of blood flow to the extremities, leading to tissue damage and delayed wound healing.
B. Intermittent claudication: This is the correct answer. Intermittent claudication is a classic symptom of PAD in the early stage. It is characterized by cramping leg pain or discomfort that occurs during physical activity, such as walking, and is relieved by rest. It is caused by insufficient blood flow to meet the demands of the muscles during exercise.
C. Rest pain: Rest pain is typically a symptom of more advanced PAD. It occurs when blood flow is severely compromised even at rest, leading to pain in the affected extremity that is not relieved by activity.
D. Dependent rubor: Dependent rubor is a sign of severe PAD and occurs when the foot or leg becomes red or flushed when in a dependent position. It is associated with compromised arterial blood flow.
Correct Answer is ["B","C","D","E"]
Explanation
Asthma action plans often use a color-coded system to guide management based on peak expiratory flow rate (PEFR) measurements. The zones are typically green (80-100% of personal best), yellow (50-79% of personal best), and red (less than 50% of personal best).
A. The student needs to go to the hospital.
This is not necessarily required when the student is in the yellow zone. The yellow zone indicates caution and the need for intervention, but it does not immediately require hospitalization unless symptoms worsen or do not improve after using the quick-relief inhaler.
B. The nurse should obtain a second expiratory flow rate.
Confirming the peak flow measurement with a second reading ensures accuracy and helps to make informed decisions about the student's asthma management.
C. The student should use his quick-relief inhaler.
In the yellow zone, indicating moderate impairment, the use of a quick-relief (rescue) inhaler is often recommended to relieve symptoms and prevent progression to the red zone.
D. The student's peak flow is 50% to 80% of his best peak flow.
This is the correct range for the yellow zone, indicating moderate impairment. Action is needed to prevent worsening.
E. The student's asthma is not well controlled.
Being in the yellow zone indicates that the asthma is not well controlled and may require adjustments in the long-term management plan, including possible changes to daily controller medications.
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