The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?
Noncompliance, related to dietary regime
Deficient knowledge, related to need for altered lifestyle
Impaired health maintenance, related to the effects of drug therapy
Self-care deficit, related to the disease process
The Correct Answer is B
Explanation:
A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.
B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.
C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.
D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Coronary heart disease (CHD) refers to the narrowing or blockage of the coronary arteries due to the buildup of plaque, leading to reduced blood flow to the heart muscle.
B. Cerebrovascular accident (CVA) refers to a stroke, which involves impaired blood flow to the brain rather than the heart.
C. Myocardial infarction (MI) is a heart attack, which occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies.
D. Angina pectoris is chest pain or discomfort caused by reduced blood flow to the heart muscle.
Correct Answer is D
Explanation
A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.
B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.
C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.
D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.
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