The nurse is obtaining a health history for an individual at a blood pressure screening clinic. Which information in the patient's history should the nurse identify as a modifiable risk factor for hypertension?
a. Age 57
b. Family history of hypertension
c. Cigarette smoking
d. Male gender
ANS: C
Modifiable risk factors—those that can be changed—include blood glucose levels, activity levels, smoking, and salt and alcohol intake.
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During a multifamily psychoeducational family therapy session, a client who has persistent
schizophrenia mentions "Sometimes I feel very sad that I will never have a high-level job like my brother, who is an executive. Then I dwell on it, and maybe I should not.". The nurse leader can best facilitate discussion of this issue by saying a. "Grieving for what is lost is a normal part of having a mental disorder.". b. "How have others in the group handled painful feelings like these?" c. "It is often better to focus on our successes rather than our failures.". d. "I wonder if you might also experience feelings of anger and helplessness.".
A client has been referred to an ophthalmologist for suspected macular degeneration. The nurse knows to prepare what test for the physician to give the client?
A) Ishihara polychromatic plates B) Visual field C) Amsler grid D) Slit lamp
Janice, an adult orthopedic nurse, has been asked to float to the pediatric orthopedic floor for the next two weeks. It is important for Janice to remember that children have more complicated issues with fractures because:
1. Fractures can occur along an immature growth plate. 2. Children have a lower pain tolerance. 3. Children do not understand how to use crutches, and it takes more time to do discharge teaching. 4. A child's bone takes many more weeks to heal than an adult.
A 23-year-old client who is at 10 weeks' gestation with a first pregnancy expresses worry over feeling no sexual desire for her spouse and asks if this is normal. How should the nurse respond?
1. "That's unusual. Throughout a healthy pregnancy, sexual desire usually increases with each trimester." 2. "That's unusual. Usually, there are minimal changes in sexual desire throughout a healthy pregnancy." 3. "That sounds normal. In many cases, sexual desire decreases in the first trimester, but it increases again during the second trimester." 4. "That sounds normal. During the first trimester, sexual desire often decreases; however, by the third trimester, sexual desire is usually greater than before pregnancy."