A 48-year-old male client was admitted in CCU.
In assessing a client's major risk factors for heart disease, which should the nurse include when taking the client's subjective data?

Alcohol consumption, obesity, diabetes, stress, high cholesterol.

Smoking, hypertension, obesity, diabetes, high cholesterol.

Personality type, high cholesterol, diabetes, smoking.

Family history, hypertension, stress, age.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Alcohol consumption, obesity, diabetes, stress, and high cholesterol are all significant risk factors for heart disease. However, smoking is not listed in this choice. Smoking is a major risk factor for heart disease as it damages the lining of the arteries, leads to the build-up of fatty deposits (atherosclerosis), and increases the risk of heart attacks and strokes.

Choice B rationale

Smoking, hypertension, obesity, diabetes, and high cholesterol are all major risk factors for heart disease. Smoking contributes to the development of atherosclerosis and increases the risk of heart attacks. Hypertension, or high blood pressure, strains the heart and blood vessels, increasing the risk of heart disease. Obesity is linked to multiple risk factors, including high cholesterol, diabetes, and hypertension. Diabetes can cause damage to blood vessels and increase the risk of cardiovascular complications. High cholesterol contributes to the formation of plaques in the arteries, leading to atherosclerosis.

Choice C rationale

Personality type is not a major risk factor for heart disease. Although certain personality traits, such as Type A behavior (characterized by competitiveness, urgency, and hostility), have been associated with increased stress and a higher risk of cardiovascular events, they are not considered primary risk factors. High cholesterol, diabetes, and smoking are significant risk factors, but this choice does not include hypertension or obesity, which are also crucial risk factors for heart disease.

Choice D rationale

Family history, hypertension, stress, and age are important risk factors for heart disease, but this choice does not include some key factors such as smoking, obesity, or diabetes. Family history of heart disease can indicate a genetic predisposition to cardiovascular conditions. Hypertension and stress contribute to cardiovascular risk, and age is a non-modifiable risk factor as the risk of heart disease increases with age. However, the absence of smoking, obesity, and diabetes makes this choice less comprehensive in assessing heart disease risk factors. .

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Correct Answer is D

Explanation

Choice A rationale

Atrial depolarization is represented by the P wave on an ECG, not the QRS wave. This phase involves the electrical activation and contraction of the atria, which precedes ventricular contraction.

Choice B rationale

Ventricular repolarization is represented by the T wave, not the QRS complex. The T wave signifies the ventricles returning to their resting state.

Choice C rationale

Atrial repolarization generally occurs during the QRS complex, but it is not represented by it. The electrical activity of atrial repolarization is masked by the more significant ventricular depolarization signal of the QRS complex.

Choice D rationale

The QRS complex on an ECG represents ventricular depolarization, which is the electrical activation leading to the contraction of the ventricles. This is the correct answer as it accurately describes the QRS wave’s significance. .

A. 2nd intercostal space. B. 3rd intercostal space. C. 2nd rib. D. 4th intercostal space.

Correct Answer is A

Explanation

Choice A rationale

The Angle of Louis, also known as the sternal angle, is located at the level of the 2nd intercostal space. It is a significant landmark in clinical examinations because it is used to locate important areas of the chest, such as the aortic and pulmonic areas, for auscultation.

Choice B rationale

The 3rd intercostal space is not the correct location for the Angle of Louis. The sternal angle is found at the level of the 2nd intercostal space, not the 3rd. Therefore, this option is incorrect.

Choice C rationale

The 2nd rib attaches at the level of the Angle of Louis. The sternal angle is an anatomical landmark where the manubrium and the body of the sternum meet, and it corresponds with the attachment of the 2nd rib.

Choice D rationale

The 4th intercostal space is not the correct location for the Angle of Louis. The sternal angle is located at the 2nd intercostal space, not the 4th. Therefore, this option is incorrect. .

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A 48-year-old male client was admitted in CCU.In assessing a client's major risk factors for heart disease, which should the nurse include when taking the client's subjective data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A student nurse is reviewing for an upcoming examination and recognizes in the ECG readings that the QRS wave represents which of the following?

Correct Answer is D

Explanation

During cardiac examination of a client, the nurse was demonstrating to the student nurse where to locate the Angle of Louis to listen to the Aortic and Pulmonic area on the chest.The nurse should locate the Angle of Louis at the level of what rib?

Correct Answer is A

Explanation

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A 48-year-old male client was admitted in CCU.
In assessing a client's major risk factors for heart disease, which should the nurse include when taking the client's subjective data?