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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
In the scenario provided, the nurse should take further action based on the following findings: The client's distended abdomen, reports of nausea, and coughing suggest possible intolerance to the tube feedings or another complication. A gastric residual volume of 550 mL is significantly higher than the standard safe limit of 500 mL, indicating delayed gastric emptying or feeding intolerance. The pH of gastric aspirate at 4.5 is within normal limits, suggesting that the tube is likely placed correctly. However, the elevated heart rate of 110/min could be a response to discomfort or underlying stress. The pulse oximetry reading of 90% on room air is below the normal range, which typically is 95-100%, indicating potential impaired gas exchange or early signs of respiratory distress. These findings warrant immediate nursing interventions and possibly a reassessment of the feeding regimen, along with measures to improve the client's respiratory function and comfort. It is essential to monitor for further signs of aspiration, respiratory distress, or other complications, and to communicate these findings to the healthcare team for appropriate management.
Correct Answer is A
Explanation
A. Conducting staff communications away from the client's room reduces noise levels near the client, promoting a quieter environment conducive to sleep.
B. Minimizing unnecessary entries into the client's room during the night helps prevent disruptions to sleep.
C. Turning on the client's TV introduces additional noise and stimulation, which may further disrupt sleep.
D. Alarms on bedside monitoring equipment should not be turned off unless clinically appropriate to ensure the client's safety.
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