Which finding from the social and history assessment of a patient admitted for chest pain would the nurse evaluate as carrying the highest risk for heart disease?
1. The patient is overweight and carries the weight around the waist.
2. The patient's mother died at age 70 of an acute myocardial infarction.
3. The patient is a single mother of four young children and has a low income.
4. The patient has a desk job and works long hours.
1
Rationale 1: Fat accumulation in the upper body, giving the body an appearance of an "apple," has been linked to a greater risk of coronary artery disease (CAD) as opposed to a "pear" shape with body fat accumulation in the gluteofemoral region.
Rationale 2: If the patient's mother had died before age 55, that would be a risk factor.
Rationale 3: Being a single mother is not a specific risk factor for the development of CAD.
Rationale 4: A sedentary lifestyle is a risk factor but is not as significant as another finding.
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