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 C

Explanation

A. Center attention on positive upbeat music . While positive music can be helpful for some individuals in managing anxiety, it may not be effective for everyone, especially those experiencing moderate anxiety.

B. Find outlets for more social interaction: Increasing social interaction may be beneficial for managing anxiety for some individuals, but it may not address the underlying issues contributing to recurrent moderate anxiety.

C. Practice using muscle relaxation techniques: Muscle relaxation techniques, such as progressive muscle relaxation or deep breathing exercises, can help reduce physical tension and promote relaxation, which can be effective in managing anxiety symptoms.

D. Think about reasons the episodes occur: While understanding triggers for anxiety episodes is important, simply thinking about the reasons may not provide immediate relief or effective coping strategies for managing anxiety symptoms.

A. Increase oxygen to 6 liters/minute. B. Call for an Ambu resuscitation bag. C. Instruct the client to lie back in bed. D. Administer a nebulizer treatment.

Correct Answer is D

Explanation

A. Increasing oxygen to 6 liters/minute may not address the underlying cause of the client's wheezing and may not be the most appropriate intervention at this time.

B. Calling for an Ambu resuscitation bag may be necessary if the client's condition deteriorates further, but it is not the initial intervention for a client with asthma exacerbation.

C. Instructing the client to lie back in bed may not be effective and may exacerbate respiratory distress.

D. Administering a nebulizer treatment with a bronchodilator (e.g., albuterol) is the most appropriate intervention for a client with asthma exacerbation experiencing wheezing and respiratory distress. Nebulizer treatments deliver medication directly to the airways, helping to relieve bronchospasm and improve breathing.

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Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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