A nurse is caring for a client
ExhibitsA.History of hypertension
B.History of rheumatoid arthritis
C.Cholesterol level
D.History of hyperlipidemia
E.Fasting glucose level
F.Family history Correct
Answer and Explanation
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
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Related Questions
Correct Answer is C
Explanation
A. While metal objects are generally a concern in imaging procedures like MRI (magnetic resonance imaging), they are not typically a concern for an intravenous pyelogram (IVP). IVP uses X-ray technology, and there is no magnetic field involved, so metal objects do not interfere with the imaging process.
B. Monitoring for pain in the suprapubic region is not specific preparations for an intravenous pyelogram.
C. Assisting the client with bowel cleansing is the most appropriate preparation for an intravenous pyelogram. Clearing the bowels helps ensure that the imaging of the urinary tract is not obstructed by stool or gas, providing the clearest possible images.
D. Oral contrast agents are commonly used for imaging studies such as CT scans or barium studies of the gastrointestinal tract to enhance the visualization of certain structures. However, for an IVP, contrast material is injected intravenously to visualize the urinary system, and oral contrast is not necessary.
Correct Answer is D
Explanation
D. suggests that the client has adapted to relying on others for assistance with certain tasks, such as cooking. This adaptation implies an acceptance of help and a recognition of the support available from their adult child in their new living situation.
A. suggests a desire for independence, which may indicate that the client is still in the process of adjusting to their new living arrangement and may not have fully adapted yet.
B. indicates uncertainty or discomfort with their current situation, suggesting that the client may still be struggling to adapt.
C. reflects a reluctance to ask for help, which may indicate a resistance to adapting to their new living situation and a desire to maintain independence.
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