The nurse is interviewing a client who has recently been diagnosed with atherosclerosis in the client's coronary arteries
Which of the following questions by the nurse has the highest priority to help the nurse determine the client's most important risk factor for this condition? 1. "Can you please tell me about the vitamins or supplements that you take?"
2. "Have you ever been diagnosed with rheumatic fever?"
3. "Do you smoke or are you exposed to secondhand smoke?"
4. "Have you ever had a diagnostic test, such as an electrocardiogram, stress test, or echocardiogram, or a surgical procedure for a cardiovascular problem?"
3
Rationale 1: Information about vitamin and supplement use is important but is not specifically related to atherosclerosis and coronary artery disease.
Rationale 2: A history of rheumatic fever can increase the client's risk for valvular problems but does not necessarily increase the client's risk for developing atherosclerosis and coronary artery disease.
Rationale 3: The most important question regarding this client's history and recent diagnosis is about exposure to cigarettes smoke. The chemical contained in the cigarette smoke injures the inner wall of arterial vessels and contributes to the subsequent development of a coronary artery plaque.
Rationale 4: Diagnostic testing may help the nurse determine if there was a previous suspicion that the client had developed a cardiovascular problem, but is not specifically related to coronary artery disease and atherosclerosis.
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