A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

"A weight loss program will increase my LDL cholesterol levels."

"Exercising regularly will bring down my HDL cholesterol levels."

"Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease."

"Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease."

Answer and Explanation

The Correct Answer is D

A. "A weight loss program will increase my LDL cholesterol levels." Weight loss typically reduces LDL (low-density lipoprotein) cholesterol levels, which lowers the risk of heart disease.

B. "Exercising regularly will bring down my HDL cholesterol levels." Regular exercise actually helps increase HDL (high-density lipoprotein) cholesterol levels, which is beneficial as HDL helps remove excess cholesterol from the bloodstream.

C. "Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease." Trans fats raise LDL cholesterol and lower HDL cholesterol, which significantly increases the risk of coronary artery disease.

D. "Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease." Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) are heart-healthy fats that help lower triglyceride levels and reduce inflammation, thereby reducing the risk of coronary artery disease. This statement shows correct understanding.

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Correct Answer is D

Explanation

A. "A heart murmur is a high-pitched sound due to a narrow valve." While some murmurs may be caused by a narrow valve (stenosis), not all murmurs are high-pitched. Murmurs vary in pitch depending on the cause, so this is not a comprehensive explanation.

B. "A heart murmur is an extra sound your heart makes due to blood entering an inflexible chamber." This describes an S3 or S4 sound rather than a murmur. A heart murmur is typically related to turbulent blood flow through valves, not just an inflexible heart chamber.

C. "This means that there is some inflammation around your heart." This statement incorrectly links a murmur to pericarditis or myocarditis, which involve inflammation. A murmur is associated with abnormal blood flow, not inflammation.

D. "This indicates turbulent (chaotic, random fluctuations) blood flow through a valve." A heart murmur is caused by turbulent blood flow, which can occur when blood moves through a valve that is narrow or has regurgitation. This is the correct explanation.

A. Check the client's blood pressure. B. Check the client's IV catheter insertion site. C. Check the level of the client's pain. D. Check the client's bowel sounds.

Correct Answer is C

Explanation

A. Check the client's blood pressure. While it is important to monitor vital signs after surgery, checking blood pressure is not the first action unless the client is showing signs of instability.

B. Check the client's IV catheter insertion site. Assessing the IV site is important for identifying complications such as infiltration or phlebitis, but this is not the priority.

C. Check the level of the client's pain. Pain assessment is the priority because unmanaged pain can affect recovery and indicate complications such as bleeding or infection. Managing pain is crucial in the postoperative period.

D. Check the client's bowel sounds. Assessing bowel sounds is important following abdominal surgery, but it is not the first priority compared to pain assessment.

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A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is collecting data on a client who is postoperative following abdominal surgery. Which of the following data should the nurse collect first?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply.)

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