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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Providing immediate rest for the client: Rest is important, but in the context of an acute asthma exacerbation, addressing the underlying respiratory distress is the priority.

B. Administering a nebulized beta-adrenergic agonist: This is the correct answer. Beta-adrenergic agonists, such as albuterol, are bronchodilators that help relieve bronchoconstriction and improve airflow. Administering a nebulized beta-adrenergic agonist is a key intervention during an acute asthma exacerbation to alleviate symptoms and improve respiratory function.

C. Positioning the client in high-Fowler's: While positioning can assist with respiratory effort, administering a bronchodilator is a more direct and immediate intervention to relieve airway obstruction.

D. Initiating oxygen therapy: While oxygen therapy may be necessary, addressing bronchoconstriction with a beta-adrenergic agonist is the primary intervention during an acute asthma exacerbation.

A. Dependent edema B. Jugular distention C. Nocturnal polyuria D. Frothy sputum

Correct Answer is D

Explanation

A. Dependent edema: Dependent edema is more commonly associated with right-sided heart failure. In left-sided heart failure, fluid accumulates in the lungs, leading to pulmonary symptoms such as cough and frothy sputum.
B. Jugular distention: Jugular distention is often associated with right-sided heart failure due to impaired blood flow from the right atrium into the right ventricle. It is less likely to be prominent in left-sided heart failure.
C. Nocturnal polyuria: Nocturnal polyuria (increased urination at night) is a common symptom of heart failure, but it is not specific to left-sided heart failure. It can be seen in both left- and right-sided heart failure.
D. Frothy sputum: This is the correct answer. Left-sided heart failure can lead to pulmonary congestion, resulting in the accumulation of fluid in the lungs. Frothy, pink-tinged sputum is a characteristic finding in left-sided heart failure and is often associated with pulmonary edema.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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