A nurse is teaching about risk factors that increase the probability of coronary artery disease to a community group. Which risk factors will the nurse Include in the discussion? (Select All that Apply.)
History of smoking
Body mass index (BMI) of 20
History of diabetes
Family history of coronary heart disease
Female gender
Age greater than 45 years for men
Correct Answer : A,C,D,F
A. History of smoking:
Smoking is a well-established risk factor for coronary artery disease (CAD). Cigarette smoke contains harmful chemicals that damage blood vessels, promote the formation of atherosclerotic plaques, and increase the risk of blood clots, all of which can lead to CAD, heart attacks, and strokes.
B. Body mass index (BMI) of 20:
While obesity and elevated BMI are risk factors for CAD, a BMI of 20 falls within the healthy weight range for most adults. However, it's important to note that BMI alone may not fully capture an individual's overall cardiovascular risk, as factors like body composition, waist circumference, diet, and physical activity level also contribute to heart health.
C. History of diabetes:
Diabetes, especially type 2 diabetes, is a significant risk factor for CAD. Elevated blood sugar levels over time can damage blood vessels (atherosclerosis), increase inflammation, and contribute to other metabolic abnormalities that raise the risk of heart disease, including heart attacks and peripheral vascular disease.
D. Family history of coronary heart disease:
Having a family history of coronary heart disease (CHD) or premature heart attacks (before age 55 in men or before age 65 in women) increases the risk of developing CAD. Genetic factors play a role in the development of heart disease, and individuals with close relatives affected by CHD have a higher likelihood of developing similar conditions.
E. Female gender:
While gender can influence cardiovascular risk factors and presentation, being female alone is not considered a specific risk factor for CAD. However, women may have different risk profiles or risk factors compared to men, such as hormonal influences (e.g., menopause) and unique symptom presentation for heart disease.
F. Age greater than 45 years for men:
Advancing age is a significant risk factor for CAD, especially for men. Men aged 45 years and older are at increased risk compared to younger age groups due to factors such as the cumulative effects of risk factors over time, hormonal changes, and age-related changes in blood vessels and heart function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Take the medication with milk to increase absorption:
This statement is incorrect. Taking ferrous sulfate with milk or dairy products is not recommended as they can decrease iron absorption. It's advisable to take iron supplements with water or juice, preferably on an empty stomach or with a small amount of food.
B. Take the medication on an empty stomach:
This statement is partially correct. While taking ferrous sulfate on an empty stomach can enhance absorption, some individuals may experience gastrointestinal discomfort or irritation. Therefore, it's often recommended to take iron supplements with a small amount of food to minimize potential side effects.
C. Eat foods high in fiber while on this medication:
This statement is generally correct. Consuming foods high in fiber can help prevent constipation, which is a common side effect of iron supplements. Including fiber-rich foods in the diet, such as fruits, vegetables, whole grains, and legumes, can promote regular bowel movements.
D. Report stools that are dark in color immediately:
This statement is correct. Dark or black stools can indicate the presence of digested blood, which may occur due to iron supplementation. It's important to report such changes to the healthcare provider promptly for further evaluation.
E. Eating citrus fruit and juices are recommended with meals:
This statement is correct. Citrus fruits and juices, such as oranges, grapefruits, and lemon juice, contain vitamin C, which can enhance iron absorption. Consuming vitamin C-rich foods or drinks along with iron supplements can help improve iron uptake by the body.
Correct Answer is D
Explanation
A. Furosemide 10mg IV bolus every 12 hours:
Furosemide is a loop diuretic commonly used in heart failure management to reduce fluid overload. The prescribed dose of 10 mg IV bolus every 12 hours is within the typical range for furosemide administration in acute heart failure.
B. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain:
Morphine sulfate is often used in the management of acute pain, including pain associated with myocardial infarction. The prescribed dose of 2 mg IV bolus every 2 hours PRN for pain is appropriate and aligns with standard pain management protocols.
C. Laboratory testing of serum potassium upon admission:
It is common practice to perform laboratory testing, including serum potassium levels, upon admission for clients with acute heart failure, especially if they are receiving diuretics or other medications that can affect electrolyte balance. This prescription is appropriate and necessary for monitoring the client's condition.
D. 0.9% normal saline IV at 150 mL/hr continuous:
This prescription raises a concern because administering 0.9% normal saline at a rate of 150 mL/hr continuously may lead to fluid overload in a client with acute heart failure. The rate of IV fluid administration should be carefully assessed based on the client's fluid status, renal function, and hemodynamic parameters to avoid exacerbating heart failure symptoms.
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