In addition to a high BMI, which client is most at risk of death from cardiovascular disease, diabetes, and kidney disease would be:
1. The client who walks 1 mile 3 times a week.
2. The client who consumes a diet high in fiber consumption.
3. A client with an even distribution of excess adipose tissue.
4. A client with an increased waist circumference.
4
Rationale: An increased waist circumference along with an increased BMI increases risk of death from cardiovascular disease, diabetes, and kidney disease compared with those who have a distribution of excess adipose that is not as centralized in the abdominal area. Increasing physical activity in addition to portion control can help to maintain optimal health as the client ages. There is now strong evidence that dietary fiber plays a role in preventing and controlling cardiovascular disease.
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A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should
a. use words directly applicable to the client's daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the meaning of the client's responses. d. ask the client questions that require more than a yes or no answer.
A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of consciousness. What would be the most appropriate nursing diagnosis?
A) Acute Confusion B) Chronic Confusion C) Impaired Memory D) Disturbed Sensory Perception
A client is diagnosed with major depressive disorder. Which nursing diagnosis should a nurse assign to this client to address a behavioral symptom of this disorder?
A. Altered communication R/T feelings of worthlessness AEB anhedonia B. Social isolation R/T poor self-esteem AEB secluding self in room C. Altered thought processes R/T hopelessness AEB persecutory delusions D. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia
A patient is admitted to the obstetric unit in preterm labor at 36 weeks' gestation. The prescriber orders a tocolytic agent. When teaching the patient about this medication, the nurse will tell her that tocolytics:
a. are given until term to reduce fetal mortality. b. are used to help the fetal lungs mature. c. help delay delivery while glucocorticoids are given. d. help treat the infections that cause preterm labor.