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 ["8"]
Explanation
To calculate the dose;
Weight= 20kg
Dose = 30mg/kg/day 8 hourly
Dose per day = 2030= 600mg
8hourly dose= 600/3= 200mg
Volume to give
125mg= 5ml
200mg = 2005/125
= 8ml
Correct Answer is ["B","D","E"]
Explanation
A. A diet low in phosphorus is not typically indicated for liver cirrhosis; instead, a low sodium diet is recommended to manage edema and ascites.
B. Noting signs of swelling and edema is important as these are common complications of cirrhosis due to hypoalbuminemia and portal hypertension.
C. Increasing oral fluid intake is not advised as it can exacerbate fluid accumulation in the abdomen (ascites) and peripheral tissues.
D. Monitoring abdominal girth helps in assessing the progression of ascites, which is a common complication of cirrhosis.
E. Reporting serum albumin and globulin levels is crucial as they provide information on the liver's synthetic function and the severity of liver disease.
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