The nurse is teaching a patient about modifiable risk factors for cholelithiasis. What risk factors will the nurse discuss?
Select all that apply.
1. age
2. obesity
3. alternating weight loss and gain
4. family history
5. elevated serum cholesterol
Correct Answer: 2, 3, 5
Modifiable risk factors for cholelithiasis include obesity, hyperlipidemia, and yo-yo dieting. Age and family history are not modifiable risk factors.
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After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes?
A) Posture is slightly kyphotic B) Slight wheeze on exhalation C) Uses accessory muscles on expiration D) Mucous membranes drier than younger clients'
When the history of a female client is taken, which client statement does the nurse refer to the health care provider?
a. "I had a fibroadenoma of the breast when I was 22 years old." b. "I had my first child when I was 26 years old and my second child when I was 32." c. "I stopped using oral contraceptives when I was no longer sexually active." d. "I had my menopause 2 years ago and have started to have vaginal bleeding again."
The client who is unconscious is developing foot drop. What nursing action is indicated?
1. Place high-topped shoes on the client while in bed. 2. Keep the linens on the end of the bed turned back to expose the feet. 3. Use only the prone and Sims positions for client positioning. 4. Use a device to elevate the linens off the feet.
A client is scheduled for cardiac surgery. The nurse is conducting a sexual history and is told that he is nervous about resuming sexual activities. The nurse uses therapeutic communication with the client when responding:
1. "You can have sexual intercourse after your surgery, but there are serious risks." 2. "Your partner will be nervous about resuming sexual activities, but that is only normal." 3. "Don't worry. In about 2 months you will be able to return to your normal sexual patterns." 4. "You are expressing a very normal concern, Perhaps we could discuss your feel-ings further."