Which of the following are modifiable risk factors for coronary artery disease? (Select all that apply.)
a. tobacco smoking e. hypertension
b. age f. family history of CAD
c. Type 2 Diabetes Mellitus g. sedentary lifestyle
d. obesity h. stress
A, C, D, E
Modifiable risk factors for the development of coronary artery disease include: hypertension, tobacco smoking, elevated serum triglyceride, total cholesterol, and low-density lipoprotein (LDL) levels, lower levels of HDL, elevated homocysteine levels, Type 2 Diabetes mellitus, obesity, excessive dietary intake of saturated fats, carbohydrates, or sodium, sedentary lifestyle, stress and drug use (especially cocaine).
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A client has been discharged from the acute care facility with an ileostomy. The client comes to the clinic for a follow-up visit and informs the nurse that the wound has been draining and they are having abdominal pain and running a fever
What does the nurse suspect is occurring with the client? A) The client is having an allergic reaction to the appliance. B) The client has developed anemia from blood loss. C) The client has developed a wound infection. D) The client is not emptying the pouch correctly.
The nurse determines that a patient has tachycardia. What does this information suggest about the patient's heart rate?
1. greater than 100 beats per minute 2. less than 60 beats per minute 3. 60–90 beats per minute 4. 90 beats per minute
After endotracheal suctioning, the nurse notes that the intracranial pressure for a patient with a traumatic head injury has increased from 14 to 17 mm Hg. Which action should the nurse take first?
a. Document the increase in intracranial pressure. b. Ensure that the patient's neck is in neutral position. c. Notify the health care provider about the change in pressure. d. Increase the rate of the prescribed propofol (Diprivan) infusion.
The nurse caring for an extremely withdrawn client with depression wishes to assist her to be-come more interactive. The best approach would be:
1. "I know you'll feel better if you leave your room. Everyone does." 2. "You look so gloomy. Would you prefer to be left alone?" 3. "I need another person for a card game. Please come be my partner." 4. "Let's explore how it feels to sit alone here all day and feel sad."