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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}
Explanation
Semi-Fowler's Position:This position involves the patient being partially seated (at a 30 to 45- degree angle) which aids in lung expansion and can ease breathing in patients with respiratory distress, making it the most appropriate choice for this patient.
Lung Expansion: Semi-Fowler's position helps to promote lung expansion by reducing pressure on the diaphragm, allowing for better expansion of the lungs and easier breathing.
Correct Answer is ["45"]
Explanation
Desired rate= 3mcg/min
Desired rate per hour= 3mcg60= 180mcg Available dose= 4mg/1000ml 1mg=1000mcg
4mg= 41000=4000mcg
4000mcg=1000ml 180mcg= 1801000/4000
=45 ml/hr
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