The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?
a. A 43-year-old married mother of three teenagers
b. A 40-year-old man whose brother has hypertension
c. A 35-year-old male construction worker who smokes
d. A 34-year-old single female who is an administrative assistant
ANS: B
Non-modifiable risk factors—those that cannot be changed—include a family history of hypertension, age, ethnicity, and diabetes mellitus. A. C. D. These individuals have risk factors that can be modified and reduce the risk of developing hypertension.
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You find your patient with antisocial personality disorder smoking in the lounge. Which response is best?
A. Make a general overhead announcement about no smoking. B. Bring up the smoking issue at the next group session. C. Tell the patient directly he is not to be smoking here. D. Encourage the patient to identify why he has the need to smoke now.
What is necessary to confirm a diagnosis of pancreatic cancer?
a. CT scan c. abdominal ultrasound b. magnetic resonance imaging (MRI) d. pancreatic biopsy
A client who has hemophilia A and his wife, who is not a carrier of the disease, wish to start a family. In discussing the risk factors of transmitting hemophilia to his children, it is important to explain that
a. none of his children are likely to have hemophilia. b. all of his children will be carriers. c. all of his sons will have hemophilia. d. 50% of his children are at risk for developing the disease.
The best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby is:
a. "Have you talked with your parents about this?" b. "Do you have plans to continue school?" c. "Will you be able to support the baby?" d. "Can you tell me how your life will change if you have an infant?"