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. The healthcare provider is mandated to perform a examination of the client and confirm death before any announcements to the family.
A. The DNR order indicates that the client has chosen not to receive CPR, so beginning resuscitation would go against their wishes.
B. Postmortem care is typically performed after the healthcare provider has pronounced the death
C. notifying the family is usually done after the healthcare provider has been informed and death has been confirmed.

A. Apply wrist restraints to prevent wandering. B. Leave the door to the client's room open slightly. C. Provide a back rub at bedtime. D. Administer a PRN sedative prescription.

Correct Answer is B

Explanation

A. Restraints should only be used as a last resort when all other options have been exhausted and there is an immediate risk to the safety of the client or others.
B. This option promotes safety by allowing for easier monitoring of the client while also preventing them from feeling completely confined. It can reduce anxiety and promote a sense of autonomy. It is a less restrictive approach than using restraints.

C.A back rub can be a soothing and calming intervention that may help the client relax and potentially improve sleep quality. However, while this is a good comfort measure, it does not directly address the immediate concern of wandering and confusion.
D. Administering sedatives should be approached cautiously, especially in older adults, due to the increased risk of adverse effects such as confusion, falls, and respiratory depression.

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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

An older adult client with heart failure has a signed do not resuscitate (DNR) form to put in the medical record. The unlicensed assistive personnel (UAP) reports that the client is not breathing, and the nurse confirms the UAP's findings. Which action should the nurse take next?

Correct Answer is D

Explanation

A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?

Correct Answer is B

Explanation

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