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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A 16-year-old client diagnosed with major depression who refuses to participate in group:
While refusal to participate may warrant assessment and intervention, it does not indicate immediate danger or escalation.
B. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby: Pacing behavior may indicate anxiety or agitation, but it does not necessarily require immediate attention unless there are signs of escalating behavior or safety concerns.
C. An 18-year-old client with antisocial behavior who is being yelled at by other clients: Correct! The client with antisocial behavior being yelled at by other clients indicates a potential conflict or safety issue that requires immediate intervention to prevent escalation or harm to the client or others.
D. A 14-year-old client with anorexia nervosa who is refusing to eat the evening snack: Refusal to eat is concerning in a client with anorexia nervosa, but it does not pose an immediate threat to safety compared to the situation involving potential conflict or aggression.
Correct Answer is D
Explanation
A. Administering a half dose now may lead to an incorrect dosage and potential toxicity.
B. Giving another dose without medical guidance could result in overdose.
C. Mixing the next dose with food may not ensure proper absorption and dosage control.
D. Withholding the dose is the appropriate action to take after vomiting to prevent potential overdose or toxicity.
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