An adult male client reports that he recently experienced an episode of chest pressure and breathlessness when he was jogging. The presses cur because both of his deceased parents had heart disease and his father had diabetes. He lives with his male partner, is a vegetarian, and uses atenolol which maintains his Mood pressure at 130/74 mm Hg. Which risk factor(s) should the nurse explore further with the client? (Select all that apply)

Family health history

Homosexual Lifestyle

History of hypertension.

Vegetarian diet.

Excessive aerobic exercise

Answer and Explanation

Correct Answer : A,C

A. Family health history: A comprehensive family health history is crucial as it can reveal a pattern of certain diseases within a family. The client's parents both had heart disease, and his father had diabetes, which significantly increases the client's risk for these conditions.
B. Homosexual Lifestyle: This is not a risk factor for heart disease. Sexual orientation does not inherently increase the risk of heart disease. The inclusion of this option reflects a common misconception and is not medically relevant.
C. History of hypertension: Even though the client's blood pressure is currently managed with atenolol, a history of hypertension is a significant risk factor for heart disease. It's important to explore the duration and control of hypertension over time.
D. Vegetarian diet: Generally, a vegetarian diet is associated with lower risk factors for heart disease, such as reduced blood pressure and lower cholesterol levels. However, it's important to ensure that the diet is well-balanced and includes all necessary nutrients.
E.While exercise is generally beneficial for heart health, it is possible to overdo it. However, the client's episode occurred during jogging, which is typically a moderate form of exercise. Unless the client is engaging in extreme levels of exercise, this is unlikely to be a significant risk factor.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale for A: Encouraging rest might seem beneficial, but it does not address the immediate comfort need of the patient who is experiencing severe epigastric pain. Resting in a supine position may actually exacerbate the pain associated with pancreatitis.
Rationale for B: Raising the head of the bed to a 90-degree angle could potentially increase intra-abdominal pressure, which may worsen the pain for a patient with pancreatitis.
Rationale for C: The reverse Trendelenburg position is not typically indicated for pain relief in pancreatitis. This position might be used to promote gastric emptying or to alleviate respiratory distress, but not specifically for pancreatitis pain.
Rationale for D: Leaning forward can help decrease the pain in pancreatitis by reducing the tension on the peritoneal surfaces. Positioning a bedside table for the client to lean across can provide the necessary support for this position, which aligns with the recommendations for pain relief in pancreatitis.

A. Alcohol consumption will not produce vascular changes. B. Sodium intake can be regulated by limiting canned foods in the diet. C. Salt substitutes can help with maintaining a healthy diet. D. Weight management is promoted by taking daily walks for thirty minutes. E. Blood pressure readings should be taken at noontime. F. Uncontrolled hypertension can lead to renal damage.

Correct Answer is ["B","C","D","F"]

Explanation

A. Alcohol consumption can indeed produce vascular changes and contribute to hypertension, making this statement incorrect.
B. Regulating sodium intake by limiting canned foods in the diet is a valid strategy to prevent hypertension.

C. Salt substitutes can be a part of maintaining a healthy diet and may help in reducing sodium intake, which is beneficial for blood pressure control.
D. Weight management through daily walks for thirty minutes is an effective method to prevent hypertension.
E. Blood pressure readings should be taken at various times of the day to assess for fluctuations; noontime is not specifically recommended.
F. Uncontrolled hypertension can indeed lead to renal damage, among other complications, making this a key point for client education.

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Naxlex Comprehensive Predictor Exams

A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Correct Answer is D

Explanation

The nurse is educating a client about essential hypertension prevention. Which information should the nurse provide? (Select all that apply.)

Correct Answer is ["B","C","D","F"]

Explanation

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

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