Which of the following nursing assessment findings are suggestive of increased risk for coronary artery disease? Select all that apply
A) Arcus senilis
B) Pear-shaped body
C) Plump ear lobes
D) Xanthelasma
E) Sensory loss
F) Motor changes
A, D
Feedback:
Arcus senilis is the opaque ring seen around the cornea that results from deposit of fat granules, and xanthelasma is raised yellow plaque on the eyelids. Both of these findings are suggestive of lipid accumulation that can increase the risk of CAD. An apple-shaped body carries a higher risk. Diagonal creases in the earlobe have been suggestive of CAD. Sensory and motor changes are more associated with CVA than CAD.
You might also like to view...
When analyzing an arterial blood gas report of a client with COPD and respiratory acidosis, the nurse anticipates that compensation will develop through which of the following mechanisms?
1. The kidneys retain bicarbonate. 2. The kidneys excrete bicarbonate. 3. The lungs will retain carbon dioxide. 4. The lungs will excrete carbon dioxide.
During a class on growth and development, students learn that the motor development of infants follows a predictable pattern. What are the characteristics of this pattern? (Select all that apply.)
A) Caudallocephalic B) Central to distal C) Gross to fine D) Right to left E) Cephalocaudal
The nurse is planning care for a patient with anxiety who will be admitted to the unit shortly. Which nursing action is most important?
1. Consider ways to assist the patient to feel valued during his stay on the unit. 2. Choose a roommate for the patient so that a friendship can develop. 3. Identify a room where the patient will have comfortable surroundings, and order a balanced meal plan. 4. Plan methods of decreasing stimuli that could cause heightened anxiety in the patient.
Which of the following signs or symptoms in a patient with severe long-standing bronchiectasis should the nurse report immediately?
a. Fever of 100.6°F (approximately 38°C) and dyspnea b. Copious sputum c. Distended neck veins and dependent edema d. Periodic episodes of harsh coughing