Which of the following conditions is considered to be a coronary heart disease risk equivalent?
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history of hypertension, which is well-controlled on his current medications. He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year coronary heart disease risk.
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B) Peripheral arterial disease
Peripheral arterial disease is considered to be a coronary heart disease risk equivalent, as are abdominal aortic aneurysm, carotid atherosclerotic disease, and diabetes mellitus.
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A nurse working the night shift begins taking modafinil [Alertec]. The nurse is telling a coworker about the medication. Which statement is correct?
a. "I can take it during pregnancy." b. "It doesn't have cardiovascular side ef-fects." c. "It is safe and has no serious adverse ef-fects." d. "It will not interfere with my normal sleep."
The patient has asked the nurse to assist him to ambulate to the bathroom. The nurse is aware that the patient is currently taking an antidepressant medication, so she should:
1. never leave the patient alone in his room. 2. ask the patient if he could use the bedside commode instead of going to the bath-room. 3. make suicidal precautions a part of the care plan. 4. ask the patient to sit on the side of the bed for a minute or two before standing, and then stand slowly.
A laboring patient asks the nurse, "Why does the physician want to use an intrauterine pressure catheter (IUPC) during my labor?" The nurse would accurately explain that the best rationale for using an IUPC is:
1. The IUPC can be used throughout the birth process. 2. A tocodynamometer is subject to artifacts. 3. The IUPC provides more accurate data than does the tocodynamometer. 4. The tocodynamometer can be used only after the cervix is dilated 2 cm.
Which of the following nursing actions provides the greatest assistance in healing?
A) Maintaining a restful environment B) Providing solid food in the first day C) Allowing family members to visit often D) Keeping the client recumbent