During the focused interview, the client answers the nurse's questions. Which of the following statements by the client suggests that the client has an increased risk of developing cardiovascular disease? Standard Text: Select all that apply
1. "I have been stressed out since my divorce last year.".
2. "I'm what you call a Type C personality.".
3. "I went on this new diet because I gained 30 pounds in the last 9 months.".
4. "On my new diet, I can eat only grains and vegetables.".
5. "I think about my job all of the time.".
1,3,4,5
Rationale 1: "I have been stressed out since my divorce last year.". Psychosocial problems and excessive stress can increase the client's risk for developing cardiovascular disease.
Rationale 2: "I'm what you call a Type C personality.". Type A personalities tend to develop cardiovascular disease more often than people with other personality types.
Rationale 3: "I went on this new diet because I gained 30 pounds in the last 9 months.". Obesity and a high percentage of body fat are risk factors for cardiovascular disease. Weight gain may accompany physical problems including systemic diseases such as diabetes, which increases this client's risk for developing cardiovascular disease.
Rationale 4: "On my new diet, I can eat only grains and vegetables.". The nurse must note if the client has been dieting to reduce weight. Many diets deplete valuable electrolytes and subject the client to potential complications. Muscle wasting may occur if the diet is deficient in protein. Lack of protein may compromise cardiac function.
Rationale 5: "I think about my job all of the time.". Stress increases the stimulation of the client's sympathetic nervous system and can increase the client's risk for developing cardiovascular disease.
You might also like to view...
You are caring for a 72-year-old male patient who was recently admitted to the long-term care facility in which you work. Since admission he has become withdrawn and anxious. You know that anxiety in the elderly can be the result of what?
A) Loss of dependence B) Fear of being visited in the hospital C) Mental sharpness D) Economic concerns
Which drug of choice should the nurse anticipate administering to a patient with severe new onset pain due to trigeminal neuralgia?
A) Gabapentin B) Carbamazepine C) Baclofen D) Phenytoin
Which question is most important for you to ask a patient before administering a new drug?
a. "Are you allergic to any drugs?" b. "Do you know what this drug is for?" c. "When was the last time you ate or drank?" d. "What other drugs have you taken in the last 24 hours?"
Which client is an unsuitable candidate for epidural analgesia?
1. INR 1.2, SaO2 96% 2. Allergy to morphine 3. Non-English speaking 4. History of spondylosis