During the focused interview, which client statements indicate an ...

[mckennatimberlake]

During the focused interview, which client statements indicate an increased risk of developing cardiovascular disease?
 
  1. I was diagnosed with hypothyroidism about 5 years ago.
  2. My doctor always tells me when I come in that my blood pressure is low.
  3. I know my grandmother had diabetes, but every time it has been checked mine has been normal.
  4. My total cholesterol has always been around 170.

Question 2

During the focused interview, the client answers the nurse's questions. Which statements by the client suggest that the client has an increased risk of developing cardiovascular disease? 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.

[pikon]

Answer to Question 1

Correct Answer: 1
Hypothyroidism may increase the client's risk for developing cardiovascular disease. Hypertension, not hypotension, is associated with the development of cardiovascular disease. Normal serum glucose levels indicate that the client does not currently have diabetes and so this client's risk is not necessarily increased. The client's total cholesterol level is within normal limits. High cholesterol levels would increase the client's risk for developing cardiovascular disease.

Answer to Question 2

Correct Answer: 1, 3, 4, 5

Psychosocial problems and excessive stress can increase the stimulation of the client's sympathetic nervous system, thereby increasing the client's risk for developing cardiovascular disease. 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. 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. Type A personalities tend to develop cardiovascular disease more often than people with other personality types.

[mckennatimberlake]

Excellent

[cam1229]

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