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. The three-point gait is used when the client can only bear weight on one leg. In this gait, the client advances both crutches and the affected leg together, followed by the unaffected leg. This sequence involves the client using both crutches and the unaffected leg for support while keeping the affected leg non-weight-bearing.
A. The four-point alternating gait involves alternating the movement of each crutch with each step of the opposite leg. This gait is often used for clients who need maximum stability but can bear weight on both legs.
B. The two-point alternating gait also involves alternating the movement of each crutch with each step of the opposite leg. This gait provides a faster and more natural rhythm than the four-point gait but still requires bilateral weight-bearing ability.
C. The swing-through gait involves advancing both crutches forward, followed by swinging both legs through between the crutches. This gait is typically used by clients who have good upper body strength and can bear weight on both legs but have difficulty with normal leg advancement.
Correct Answer is C
Explanation
C. Positioning the client on their side with the right side of the chest elevated helps to promote drainage of the left lower lobe by allowing gravity to assist in the movement of secretions toward the larger airways for expectoration or suctioning.
A. Prone positioning involves lying face down, which may not effectively target drainage of the left lower lobe. Additionally, placing pillows under the lower extremities may not be conducive to drainage of the affected lung segment.
C. The supine position (lying flat on the back) does not facilitate drainage of specific lung segments, and the low-Fowler's position (semi-reclined with the head of the bed raised slightly) may not provide optimal drainage for the left lower lobe.
D. Trendelenburg position involves lying flat on the back with the legs elevated higher than the head. While this position may help improve venous return and cardiac output in certain situations, it is not specifically indicated for postural drainage of the left lower lobe.
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