A nurse is caring for a client.

Exhibit 1

Medical History

0800:

Client has a history of hyperlipidemia, rheumatoid arthritis, and hypertension.

Client has a BMI of 32.

Client has a family history of colon cancer.

The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)

A. Asking the family if they wish to assist in washing the client's body:

This is an important first step because it respects the family's cultural or religious practices and allows them to participate in the care of their loved one if they choose. It sets the tone for sensitive and respectful postmortem care.

B. Removing the client's dentures for their family to keep:

Dentures are usually leftin the mouth tomaintain facial shape.However, this action is not the first priority.

C. Leaving the client's eyes open until the family views the body:

It is generally recommended to gently close the client's eyes after death as part of the postmortem care process. Leaving the eyes open might be distressing for the family, so this action should not be performed first.

D. Turn overhead lights to a bright setting.

Bright lighting may not be comforting for the family or create a peaceful environment. Dim or soft lighting is usually preferred to create a calming atmosphere during this sensitive time. Therefore, this is not the first action the nurse should take.

A. Hypertension in a parent: While a family history of hypertension may increase the risk of developing high blood pressure, it is considered a non-modifiable risk factor because individuals cannot change their genetic predisposition. However, individuals can take steps to manage hypertension through lifestyle modifications and medication.

B. Cultural beliefs: Cultural beliefs may influence health behaviors and attitudes toward health care, but they are not directly modifiable risk factors for heart disease. However, healthcare providers can work with individuals to address cultural barriers and develop culturally sensitive strategies for promoting heart-healthy behaviors.

C. Air quality: Environmental factors such as air pollution can contribute to cardiovascular disease risk, but air quality is not a modifiable risk factor for individuals on an individual level. However, efforts to improve air quality through environmental policies and regulations can help reduce population-level risk of heart disease.

D. Physical inactivity

Modifiable risk factors are those that can be changed or controlled to reduce the risk of developing a particular health condition. Physical inactivity is a modifiable risk factor because individuals can make lifestyle changes to increase their level of physical activity, which can help lower their risk of heart disease. Regular exercise has been shown to improve cardiovascular health by strengthening the heart, reducing blood pressure, improving cholesterol levels, and maintaining a healthy weight.