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Exhibits

The nurse is reviewing the client's medical record.

Select the 2 findings the nurse should identify as placing the client at risk for cardiovascular disease.

Exercise

Diet

LDL level

BMI

HDL level

Answer and Explanation

Correct Answer : C,D

Rationale for Correct Answers:

LDL level: An LDL level of 145 mg/dL exceeds the recommended limit (<130 mg/dL), increasing the client’s risk for atherosclerosis and coronary artery disease. Elevated LDL contributes to plaque buildup in arterial walls, narrowing the vessels and raising the likelihood of myocardial infarction and stroke.
BMI: A BMI of 29.8 falls in the overweight range (25–29.9), nearing obesity. Excess body weight, particularly visceral fat, is associated with hypertension, insulin resistance, and dyslipidemia, all of which are significant risk factors for cardiovascular disease.

Rationale for Incorrect Answers:

Exercise: The client walks 30 minutes 5 days a week, meeting the American Heart Association’s guidelines for physical activity. Regular aerobic exercise reduces blood pressure, improves lipid profiles, and strengthens cardiac function.
Diet: The client reports following a Mediterranean diet, which is associated with lower cardiovascular risk due to its emphasis on fruits, vegetables, whole grains, lean protein, and healthy fats. Although wine consumption is noted, moderation aligns with Mediterranean patterns.
HDL level: The client’s HDL is 58 mg/dL, which is above the desired threshold (>55 mg/dL). Higher HDL levels offer cardioprotective effects by helping remove cholesterol from the bloodstream and reducing the risk of plaque buildup.

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Correct Answer is B

Explanation

A. Ham sandwich with milk: Ham is pork, which is prohibited in kosher dietary laws. Additionally, mixing meat and dairy in the same meal is not allowed in kosher practice.
B. Scrambled eggs and toast with milk: Eggs, bread, and milk are all considered kosher when prepared properly, and this combination avoids mixing meat and dairy. This option aligns with kosher dietary restrictions.
C. Shrimp salad and tomato soup with milk: Shrimp is a shellfish and is not kosher. Kosher dietary laws prohibit the consumption of shellfish and other non-scaled seafood.
D. Bacon and cheese quiche with milk: Bacon is derived from pork, which is forbidden in kosher diets. Additionally, this meal mixes meat and dairy, which is also not permitted under kosher rules.

A. Keep a monthly calendar in the client's kitchen. B. Provide distraction by keeping the television on. C. Install a nightlight in the client's bedroom D. Place a deadbolt lock on the client's bedroom door.

Correct Answer is C

Explanation

A. Keep a monthly calendar in the client's kitchen: A calendar showing a full month may be difficult for a client with Alzheimer's disease to process due to impaired memory and orientation. Simpler visual aids or daily reminders are more effective in supporting cognitive function.
B. Provide distraction by keeping the television on: Leaving the television on continuously can overstimulate the client and contribute to confusion or agitation. Clients with Alzheimer's often benefit more from calm, structured environments than from constant auditory input.
C. Install a nightlight in the client's bedroom: Installing a nightlight helps maintain orientation and reduce nighttime confusion. It also lowers the risk of falls by making it easier for the client to navigate their environment if they wake during the night.
D. Place a deadbolt lock on the client's bedroom door: Locking the client in their bedroom poses serious safety concerns, especially in emergencies like a fire. It may also increase anxiety or fear. Safer wandering prevention measures include door alarms or monitoring systems.

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Exhibits The nurse is reviewing the client's medical record. Select the 2 findings the nurse should identify as placing the client at risk for cardiovascular disease.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with food selection for a client who follows kosher dietary traditions. Which of the following food choices should the nurse include on the client's food tray?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to the family of a client who has Alzheimer's disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client’s body should the nurse observe to assess for cyanosis?

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Exhibits

The nurse is reviewing the client's medical record.

Select the 2 findings the nurse should identify as placing the client at risk for cardiovascular disease.