A nurse is conducting a health screening of a male client who states he is concerned about developing cardiovascular disease. Which of the following client statements indicates he is at risk?

"My mother had a heart attack at 60 years old."

"I will be 50 years old on my birthday this year."

"My latest cholesterol level was 190."

"I have a BMI of 28."

Answer and Explanation

The Correct Answer is C

A. "My mother had a heart attack at 60 years old." Family history of cardiovascular disease is a risk factor, but this statement alone doesn’t provide a full picture of the client’s risk without other factors.
B. "I will be 50 years old on my birthday this year." Age is a risk factor for cardiovascular disease, but being 50 alone does not necessarily indicate an elevated risk without considering other factors like lifestyle and health status.
C. "My latest cholesterol level was 190." A cholesterol level of 190 mg/dL is borderline high and can be a risk factor for cardiovascular disease. This statement is indicative of a potential risk factor.
D. "I have a BMI of 28." A BMI of 28 indicates overweight, which is a risk factor for cardiovascular disease. This is a relevant indicator of risk but is not the only factor to consider.

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Correct Answer is D

Explanation

A. Hold the dropper just inside the ear canal. The dropper should be held above the ear canal to avoid contamination and injury.
B. Apply sterile gloves prior to administration. Sterile gloves are not necessary for administering ear drops. Clean gloves are sufficient.
C. Have the client remain in a side-lying position for 10 min. This is unnecessary. The client can return to an upright position after the medication has been administered.
D. Pull the pinna up and back. This is correct for adults. Pulling the pinna up and back straightens the ear canal for proper medication administration.

A. "Ask the charge nurse if she will enter the vital signs for you." B. "I'll give you my password to use on another computer, but only for those vital signs." C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." D. "Contact the information technology team and ask them to reset your password."

Correct Answer is C

Explanation

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

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A nurse is conducting a health screening of a male client who states he is concerned about developing cardiovascular disease. Which of the following client statements indicates he is at risk?

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Naxlex Comprehensive Predictor Exams

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