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.
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Related Questions
Correct Answer is D
Explanation
D. Offering to play music in the client's room can provide a distraction and promote relaxation, which may help alleviate the client's perception of pain. Music therapy has been shown to have analgesic effects and can contribute to a more comfortable and calming environment for the client.
A. Massaging the client's sacrum may not be appropriate for acute pain resulting from a pressure injury. Direct pressure or manipulation of the affected area could potentially exacerbate pain or cause further tissue damage. It's essential to avoid activities that may aggravate the pressure injury or compromise healing.
B. Providing bright lights in the client's room is not typically indicated for pain management in clients with pressure injuries. In fact, excessive light exposure may be disruptive to sleep and rest, which are important for the healing process. Maintaining a comfortable and soothing environment is more conducive to pain relief and overall well-being.
C. Loosening bed linens can help reduce friction and pressure, but it does not directly address the client's acute pain.
Correct Answer is D
Explanation
D. Occupational therapists specialize in helping individuals develop or regain the skills needed for activities of daily living (ADLs), including feeding, dressing, and bathing. They can assess the client's specific needs, provide interventions to improve hand function and mobility, recommend adaptive equipment or assistive devices, and teach compensatory techniques to promote independence in self- care activities.
A. Social workers may assist with psychosocial support, counseling, and coordination of community resources, but they do not typically provide direct interventions for physical impairments such as difficulty feeding due to rheumatoid arthritis.
B. Physician assistants work under the supervision of physicians and typically focus on medical diagnosis, treatment, and management. While they may be involved in the client's care, they are not specialized in rehabilitation or occupational therapy.
C. Physical therapists specialize in movement and mobility rehabilitation, focusing on improving strength, flexibility, and mobility. While they may address overall physical function and mobility, including aspects related to rheumatoid arthritis, occupational therapists are better suited to address the specific self-care needs and hand function required for feeding.
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