An adult male client reports that he recently experienced an episode of chest pressure and breathlessness when he was jogging. The presses cur because both of his deceased parents had heart disease and his father had diabetes. He lives with his male partner, is a vegetarian, and uses atenolol which maintains his Mood pressure at 130/74 mm Hg. Which risk factor(s) should the nurse explore further with the client? (Select all that apply)

Family health history

Homosexual Lifestyle

History of hypertension.

Vegetarian diet.

Excessive aerobic exercise

Answer and Explanation

Correct Answer : A,C

A. Family health history: A comprehensive family health history is crucial as it can reveal a pattern of certain diseases within a family. The client's parents both had heart disease, and his father had diabetes, which significantly increases the client's risk for these conditions.
B. Homosexual Lifestyle: This is not a risk factor for heart disease. Sexual orientation does not inherently increase the risk of heart disease. The inclusion of this option reflects a common misconception and is not medically relevant.
C. History of hypertension: Even though the client's blood pressure is currently managed with atenolol, a history of hypertension is a significant risk factor for heart disease. It's important to explore the duration and control of hypertension over time.
D. Vegetarian diet: Generally, a vegetarian diet is associated with lower risk factors for heart disease, such as reduced blood pressure and lower cholesterol levels. However, it's important to ensure that the diet is well-balanced and includes all necessary nutrients.
E.While exercise is generally beneficial for heart health, it is possible to overdo it. However, the client's episode occurred during jogging, which is typically a moderate form of exercise. Unless the client is engaging in extreme levels of exercise, this is unlikely to be a significant risk factor.

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Correct Answer is B

Explanation

A. While psychological support may be beneficial for managing chronic pain, arranging a consultation with a psychologist may not directly address the client's immediate need for pain management.

B. Fibromyalgia is a chronic pain condition, and a pain specialist is best equipped to assess and manage the client's pain effectively. Therefore, arranging an appointment with a pain specialist is the most appropriate intervention.

C. Hospice care is typically reserved for end-of-life care and may not be suitable for a client with fibromyalgia unless the condition is terminal.

D. Forming an interdisciplinary team may be helpful for comprehensive care but may not directly address the client's immediate need for pain management.

A. BP 145/89 mmHg B. Heart Rate 101 bpm C. Capillary refill 4 seconds D. Awake and alert E. Anxious and Restless F. Oxygen saturation 90% G. Respiratory rate 28bpm H. Productive cough

Correct Answer is ["A","B","E","F","G"]

Explanation

O2 saturation: Directly reflects the level of oxygen in the blood.

Respiratory rate 28 bpm: Indicates increased effort to obtain oxygen.

Anxious, Restless: Neurological signs of inadequate oxygenation.

BP 145/89 mmHg: Elevated blood pressure can be a response to hypoxia.

Heart Rate 101 bpm: Increased heart rate is a compensatory mechanism for hypoxia.

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Body System	Assessment Finding
Cardiovascular	BP 145/89 mmHg Heart Rate 101 bpm Capillary refill 4 seconds
Neurologic	Awake and alert Anxious and Restless
Respiratory	Oxygen saturation 90% Respiratory rate 28bpm Productive cough

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Naxlex Comprehensive Predictor Exams

A female client with fibromyalgia asks the nurse to arrange for hospice care to help her manage the severe, chronic pain. Which intervention should the nurse provide to address the client's problem?

Correct Answer is B

Explanation

Correct Answer is ["A","B","E","F","G"]

Explanation

A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?

To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?