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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “It sounds like you're saying that you feel uncomfortable around others.": This therapeutic response reflects the client's feelings and encourages further expression, showing empathy without judgment or assumption.
B. “How long have you struggled with your weight?": This question shifts the focus to the client’s weight history rather than their current emotional distress, which may feel dismissive or overly clinical.
C. “Have you always felt uncomfortable being overweight?": This response makes assumptions about the client's feelings and can come across as insensitive, which may inhibit open communication.
D. “Let's discuss some weight loss strategies that might work for you.”: Offering solutions too early may invalidate the client’s emotions and shift the focus away from addressing their immediate feelings of embarrassment and discomfort.
Correct Answer is A,C,B,D
Explanation
A. Rolls from back to side typically occurs around 4 months of age, as the infant gains initial control of trunk and limbs. This is one of the earliest gross motor milestones.
B. Sits steadily unsupported generally develops by about 8 months, showing further improvement in core strength and postural control.
C. Rolls from back to abdomen follows around 5–6 months, demonstrating increased muscle coordination and control over the trunk and neck.
D. Changes from prone to sitting usually occurs between 9 to 10 months and indicates advanced coordination, enabling independent movement and transition between positions.
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