A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?
Stress reduction.
Smoking cessation.
Regular exercise.
Low fat diet.
The Correct Answer is B
A. While stress management is important for overall health, it is not as directly linked to cardiac disease as smoking cessation.
B. Smoking is a primary risk factor for heart disease, and quitting smoking significantly reduces the risk of heart attack and stroke.
C. Exercise is crucial for heart health, but it's not as immediate an impact as quitting smoking.
D. A healthy diet is essential for heart health, but it's not as impactful as quitting smoking in terms of immediate risk reduction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This response is incorrect and misleading. While it might seem like a way to delay the issue, it avoids addressing the core problem: the parents' lack of legal access to the child's medical information.
B. This response is also incorrect. The healthcare provider cannot share the client's medical information with the parents without the client's consent.
C. This response is disrespectful and could escalate the situation. It is important to maintain a professional and empathetic demeanor when communicating with patients and their families.
D. This is the correct response. It clearly and respectfully explains the legal situation to the parents, protecting the client's privacy and rights.
Correct Answer is C
Explanation
A. Releasing the valve immediately would result in a premature measurement and could cause the nurse to miss the accurate systolic pressure. The nurse should not release the cuff until it is inflated to an appropriate level to ensure accurate measurement.
B. If the radial pulse disappears at 90 mm Hg, this means that 90 mm Hg is the approximate systolic pressure. However, this is not a definitive measurement and should be used only as a guide. Accurate blood pressure measurement involves inflating the cuff above this level and then slowly deflating it to find the exact systolic pressure. Simply recording 90 mm Hg might not be accurate for clinical documentation.
C. Inflating the cuff to 120 mm Hg after noting that the radial pulse is no longer palpable at 90 mm Hg is a reasonable action. It allows the nurse to obtain an accurate systolic reading by ensuring that the cuff is inflated sufficiently above the level where the radial pulse disappeared.
D. While documenting the absence of the radial pulse is important for clinical records, it does not address the immediate need for accurate blood pressure measurement. The focus should be on obtaining an accurate systolic reading by appropriately inflating the cuff above the point where the radial pulse was lost.
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