The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?
A career as a corporate attorney who exercises three times per week
An uncomplicated vaginal birth 12 years ago
Drinking a glass of red wine with dinner and taking Yoga classes on Saturdays
Taking birth control pills and a 15-year pack per day smoking habit
The Correct Answer is D
A. This choice suggests a high-stress job but includes a positive aspect—regular exercise. Regular physical activity is protective against stroke, and being active can help mitigate some risk factors. Therefore, this scenario does not indicate a high risk for stroke.
B. This choice does not present a significant risk factor for stroke. An uncomplicated vaginal birth is typically not associated with an increased risk of stroke. Factors like recent pregnancy could increase risk due to changes in blood coagulation, but 12 years post-birth is not relevant.
C. Moderate alcohol consumption, such as a glass of red wine, may have some cardiovascular benefits when done in moderation, and practicing yoga can be beneficial for stress reduction and overall health. Therefore, this option does not suggest a high risk for stroke.
D. Both smoking and the use of birth control pills significantly increase the risk of stroke, particularly in women. Smoking is a well-known risk factor for cardiovascular disease and can lead to thrombosis (blood clots).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response is relevant and helps assess the characteristics of the lump. Pain can be an important factor in differentiating between conditions, such as epididymitis, testicular torsion, or tumors. However, while it is a useful question, it may not provide a comprehensive assessment of the situation.
B. This question can be relevant depending on the underlying cause of the lump. Issues with urination may suggest a problem related to the prostate or bladder rather than the testicle itself. While it can help assess urinary tract involvement, it may not directly address the significance of the lump in the testicle.
C. This question is important in the context of sexually transmitted infections (STIs), which can cause scrotal swelling or lumps due to conditions like epididymitis or orchitis. However, it does not directly assess the lump itself, making it less focused on the immediate concern.
D. This question addresses the possibility of an STI and related conditions. While it is relevant, it is not the best immediate question concerning the lump in the testicle. The presence of discharge may not directly correlate with the testicular lump itself.
Correct Answer is C
Explanation
A. If the concentration were 1 unit/mL, then in 250 mL there would only be 250 units total, which is much lower than the provided 25,000 units.
B. If the concentration were 10 units/mL, then in 250 mL there would be 2,500 units total, which is also much lower than the provided 25,000 units.
C. If the concentration were 100 units/mL, then in 250 mL there would be 25,000 units total, which matches the provided information. However, while this seems plausible, it is not the answer we calculated.
D. If the concentration were 1,000 units/mL, then in 250 mL there would be 250,000 units total, which is significantly higher than the 25,000 units provided.
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