A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

BMI of 24

Type 1 diabetes mellitus

Family history of osteoporosis

Orthostatic hypotension

Answer and Explanation

The Correct Answer is B

A. A BMI of 24 is within the normal range and is not typically considered a significant risk factor for cardiovascular disease.
B. Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its

association with insulin deficiency and potential complications such as coronary artery disease.

C. Family history of osteoporosis is a risk factor for osteoporosis, not cardiovascular disease.

D. Orthostatic hypotension, while a medical condition, is not typically considered a direct risk factor for cardiovascular disease.

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Correct Answer is A

Explanation

A. This response acknowledges the client's concerns and opens the conversation for the nurse to address the client's specific needs and preferences, which is crucial in end-of-life care.
B. While pain management is important, addressing the client's concerns about the end-of-life care and their expectations should be the priority.
C. While family visits are significant, addressing the client's immediate concerns about their care takes precedence.
D. Spiritual support is important but may not address the client's immediate concerns about the care they will receive as death approaches.

A. Client instructed on self-care needs. B. Oral temperature elevated at 0800. C. Episiotomy approximated, 3 cm (1.18 in) in length. D. Client drank adequate amounts of fluid with meals.

Correct Answer is C

Explanation

A. Documenting client education on self-care needs is important but does not specifically relate to the postpartum status or immediate healthcare concerns.
B. While documenting vital signs like oral temperature is important for monitoring the client's health, this specific finding does not relate directly to the postpartum status unless it is elevated beyond normal ranges and indicates a potential complication.
C. Documenting the condition of the episiotomy site, including its approximation and length, is essential for assessing wound healing and preventing infection in the postpartum period.

D. While hydration is important for postpartum recovery, documenting fluid intake is not as crucial as assessing the healing of specific postpartum interventions like an episiotomy.

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A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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