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?

Regular exercise.

Smoking cessation.

Low fat diet.

Stress reduction.

Answer and Explanation

The Correct Answer is B

B. Smoking is a major risk factor for cardiovascular disease, including coronary artery disease, peripheral artery disease, and stroke. Encouraging smoking cessation is crucial because it can significantly reduce the risk of developing cardiac-related complications.
A. While regular physical activity is crucial for overall health, in terms of priority, other lifestyle modifications may have a more immediate impact on reducing cardiac risk factors.
C. While dietary modifications are important, they may not have as immediate and direct an impact on reducing cardiac risk factors as smoking cessation.
D. While stress reduction techniques, such as mindfulness, meditation, relaxation exercises, and stress management strategies, can be beneficial for overall health, their impact on reducing cardiac risk factors may be more indirect and variable compared to other lifestyle modifications.

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Correct Answer is D

Explanation

D. "Late entry" documentation is a common practice used to indicate that the entry was made after the designated time period. This allows for accurate recording of events while maintaining the integrity of the medical record. By entering the occurrence after the 1400 notes and clearly identifying it as a late entry, the nurse ensures that the information is documented appropriately and is easily identifiable as having been entered after the intended time.
A. This might be appropriate if the previously entered information was incorrect or inaccurate, and it needs to be completely removed from the record. However, it might not be necessary if the information is simply incomplete or if adding an addendum is sufficient.
B. Corrections are typically used to fix errors or inaccuracies in documentation, rather than adding new information that was missed. Adding a correction may not be the best approach for documenting a missed occurrence from a previous time, as it may not provide proper context or clarity.
C. An addendum is typically added to a patient's medical record to provide supplementary information or clarification regarding a specific aspect of the patient's care or condition.

A. Select upper arm as the injection site. B. Hold the syringe perpendicular to the skin. C. Ensure bevel of the needle is pointing up. D. Massage the site gently after injection

Correct Answer is C

Explanation

C. Intradermal injections are administered into the dermal layer of the skin, just below the epidermis. Ensuring that the bevel of the needle is pointing up helps facilitate proper placement of the medication into the dermal layer and improves accuracy.
A. Intradermal injections are typically administered on the inner forearm or the upper back, not the upper arm.
B. When administering an intradermal injection, the nurse should hold the syringe at a shallow angle (approximately 5-15 degrees) to the skin, not perpendicular. Holding the syringe perpendicular would increase the risk of inserting the needle too deeply, which could lead to improper administration of the medication.
D. Massaging the site can cause the medication to disperse into the subcutaneous tissue, potentially affecting the accuracy of the test.

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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?

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Naxlex Comprehensive Predictor Exams

After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?

Correct Answer is D

Explanation

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer is C

Explanation

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