A nurse is caring for a client
History of hypertension
History of rheumatoid arthritis
Cholesterol level
History of hyperlipidemia
Fasting glucose level
Family history
Correct Answer : A,C,D,F
C. Elevated cholesterol levels, as indicated by a total cholesterol level of 250 mg/dL, are a risk factor for heart disease. High cholesterol levels contribute to the buildup of plaque in the arteries (atherosclerosis), leading to narrowed or blocked arteries and an increased risk of heart attack and stroke.
D. Hyperlipidemia refers to elevated levels of lipids (fats) in the blood, including cholesterol and triglycerides. It is a significant risk factor for heart disease, as high levels of lipids contribute to the development of atherosclerosis and increase the risk of cardiovascular events.
F. A family history of heart disease, especially in first-degree relatives (parents or siblings), increases an individual's risk of developing heart disease. Genetic factors can influence the risk of heart disease, including conditions such as coronary artery disease and familial hypercholesterolemia.
B. Rheumatoid arthritis (RA) is an autoimmune disease that primarily affects the joints. While RA itself is not a direct risk factor for heart disease, chronic inflammation associated with RA can increase the risk of cardiovascular events.
E. While elevated fasting glucose levels can indicate impaired glucose metabolism or prediabetes, they are more directly associated with an increased risk of type 2 diabetes rather than heart disease.
However, individuals with diabetes are at higher risk for heart disease due to various factors, including obesity, high blood pressure, and dyslipidemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Assault refers to the threat or apprehension of harmful or offensive contact with another person. In this scenario, the nurse's statement of threatening to administer medication by injection if the client doesn't comply with swallowing pills constitutes assault.
A. Invasion of privacy refers to the unauthorized intrusion into an individual's private affairs. While the nurse's statement may be inappropriate and unprofessional, it does not directly involve intruding into the client's private affairs.
B. The threat of administering medication by injection without consent is an act that could be considered harmful or offensive, and it's done to coerce compliance, which is not ethically or legally appropriate.
C. Defamation involves the communication of false statements about a person that harm the person's reputation. In this scenario, the nurse's statement does not involve making false statements about the client to harm their reputation.
Correct Answer is B
Explanation
B. Area rugs can be a significant tripping risk, especially for older adults with osteoporosis who are more vulnerable to fractures from falls. The nurse should intervene to either remove the rug or secure it with non-slip backing or tape to prevent slipping and tripping.
A. Using a medication organizer can help ensure that the client takes their medications correctly and consistently, reducing the risk of missed doses or overdoses. There is no need for the nurse to intervene here.
C. Grab bars in the shower can greatly reduce the risk of falls in the bathroom, which is a common site for accidents. This does not require intervention as it is a good safety measure.
D. This temperature setting is within a safe range to prevent burns. Most guidelines recommend setting the hot water heater to no higher than 48° C (120° F) to prevent scalding. Therefore, no intervention is needed here either.
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