A nurse in a community clinic is assessing a client during a visit for routine health maintenance. Which of the following findings indicates the client is at an increased risk for developing heart disease?

The client has a body mass index of 23.

The client recently started vaping.

The client includes insoluble fiber foods in their diet.

The client limits dietary intake of high sugar foods.

Answer and Explanation

The Correct Answer is B

A. The client has a body mass index of 23: A BMI of 23 falls within the normal healthy range (18.5–24.9), which is associated with a lower risk of heart disease compared to overweight or obesity.

B. The client recently started vaping: Vaping introduces nicotine and other harmful chemicals that can increase heart rate, blood pressure, and promote inflammation, all of which elevate the risk for cardiovascular disease. Although often perceived as safer than smoking, vaping still poses significant heart health risks.

C. The client includes insoluble fiber foods in their diet: Insoluble fiber supports digestive health and can indirectly reduce heart disease risk by promoting overall healthy eating habits, but it does not directly increase cardiovascular risk.

D. The client limits dietary intake of high sugar foods: Reducing high sugar intake helps prevent obesity, diabetes, and dyslipidemia, all of which decrease the risk of heart disease, so this behavior is protective rather than a risk factor.

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Correct Answer is ["A","B"]

Explanation

Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.

Rationale for Incorrect Findings:

The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.

A. Identify the client's spoken dialect. B. Document the use of the interpreter. C. Talk directly to the client. D. Contact a qualified medical interpreter.

Correct Answer is D

Explanation

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

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A nurse in a community clinic is assessing a client during a visit for routine health maintenance. Which of the following findings indicates the client is at an increased risk for developing heart disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B"]

Explanation

A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

Correct Answer is D

Explanation

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A nurse in a community clinic is assessing a client during a visit for routine health maintenance. Which of the following findings indicates the client is at an increased risk for developing heart disease?

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