Try Naxlex NCLEX-RN (Free-Trial)

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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. "I will have canned chicken noodle soup with crackers and an apple for lunch": Canned soups are often high in sodium, and crackers can also contribute to sodium intake. This meal choice would not align with a low-sodium diet.

B. "I will have a ham and cheese sandwich for lunch": Processed meats like ham and cheese can be high in sodium, especially if they are not low-sodium options. This choice may not be suitable for a low-sodium diet unless specific low-sodium products are used.

C. "I will have a BLT and a side salad with cheese and croutons for lunch": Bacon, cheese, and croutons are all sources of sodium, so this meal would likely not be appropriate for a low-sodium diet unless modifications are made, such as using low-sodium bacon and limiting cheese and crouton amounts.

D. "I will have a baked potato with broiled chicken for dinner": This statement indicates an understanding of choosing low-sodium options. Baked potatoes and broiled chicken are generally low in sodium, especially if prepared without added salt or high-sodium seasonings. This choice aligns well with a low-sodium diet for someone with heart failure.

A. Initiate a peripheral IV. B. Administer another nitroglycerin tablet. C. Call the Rapid Response Team. D. Obtain an ECG.

Correct Answer is B

Explanation

A. Initiate a peripheral IV:

Initiating a peripheral intravenous (IV) line may be necessary for clients with unstable angina to facilitate the administration of medications and fluids, especially if there is a need for further interventions or if the client's condition deteriorates. However, in this case, the client's chest pain has improved after receiving nitroglycerin, and there is no immediate indication for IV access based on the information provided.

B. Administer another nitroglycerin tablet:

Nitroglycerin is a vasodilator commonly used to relieve chest pain (angina) by dilating blood vessels and improving blood flow to the heart. The initial response of the client's chest pain severity decreasing from 6 to 2 after one sublingual nitroglycerin tablet indicates a positive response to the medication. However, it's important to assess the client's response further before administering additional doses of nitroglycerin, especially considering the potential for hypotension or other adverse effects.

C. Call the Rapid Response Team:

The Rapid Response Team (RRT) is typically called in situations where there is a concern for a critical event or deterioration of a client's condition that requires immediate intervention. In this scenario, the client's chest pain has improved after nitroglycerin administration, and there are no indications of an acute critical event at this time. Therefore, calling the RRT is not warranted based on the client's current status.

D. Obtain an ECG:

An ECG can be helpful to assess for potential ischemia or other cardiac abnormalities. However, it's not the most urgent action when the client is responding positively to nitroglycerin. It can be done while monitoring the client's response to the second dose.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure is placed on a low-sodium diet. Which statement by the client indicates that the nurse's nutritional teaching plan has been effective?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? Round to thenearesttenth

The nurse has given education for a client who is going to have an exercise stress test. The nurse knows the client understands the teaching when they say what?

A 56-year-old male client at a screening event has a blood pressure reading of 146/96 mm Hg. Upon hearing the reading, the client states, "My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?" What is the nurse's best response?

A client is being treated in the ICU after a medical error resulted in an acute hemolytic transfusion reaction. What was the etiology of this client's adverse reaction?

A nurse is preparing to administer vancomycin 500 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules should the nurse administerwitheachdose?

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and the QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics?

The nurse receives a client from the post-anesthesia unit with a new onset of sinus tachycardia and a heart rate of 118 beats per minute. To which reasons does the nurse relate the increased heart rate? (Select All that Apply.)

Family members bring a client to the ED with pale cool skin, sudden midsternal chest pain unrelieved with rest, and a history of CAD. How should the nurse best interpret these initial data?