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. Explaining that the dosage has been changed is not appropriate without verifying the correct dosage first.
B. Withholding the medication until the dosage can be confirmed is the safest approach to prevent potential medication errors.
C. Informing the client that he may refuse the medication is an option, but it does not address the potential discrepancy in dosage.
D. Telling him to take the medication and then verifying the dosage at the next healthcare team meeting could result in a medication error and is not a safe practice

A. "Which medication works best?" B. "When do you hear voices?" C. "How do you cope with the voices?" D. "What are the voices saying?" E. "What are the voices saying?"

Correct Answer is D

Explanation

A. "Which medication works best?": While medication management is important in treating schizophrenia, asking about medication effectiveness may not provide immediate insight into the nature or content of the hallucinations.

B. "When do you hear voices?": Understanding the timing of hallucinations can provide some context, but it may not directly address the content or impact of the hallucinations on the client's well-being.

C. "How do you cope with the voices?": Understanding coping strategies is valuable, but it may not reveal the specific content of the hallucinations.

D. "What are the voices saying?": This question is crucial because it helps the nurse understand the content and potential themes of the auditory hallucinations, which can inform the treatment plan and interventions for the client's symptoms.

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Naxlex Comprehensive Predictor Exams

When preparing to administer a prescribed medication to a homeless male at a community psychiatric clinic, the client tells the nurse that he usually takes a different dosage. Which action should the nurse take?

Correct Answer is B

Explanation

A client with schizophrenia reports auditory hallucinations when admitted to the hospital.What question is most important for the nurse to include in the assessment of this client?

Correct Answer is D

Explanation

A client is being discharged with a prescription for warfarin. Which instruction should the nurse provide this client regarding diet?

Three hours after birth, a newborn becomes jittery and tachypneic. What should the nurse do first?

A mother brings her 4-month-old son to the clinic with a quarter taped over his umbilicus and tells the nurse the quarter is supposed to fix her child's hernia. Which explanation should the nurse provide?

When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)?

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

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?

A mother brings her 4-month-old son to the clinic with a quarter taped over his umbilicus, and tells the nurse the quarter is supposed to fix her child's hernia. Which explanation should the nurse provide?