The nurse is assessing a middle-aged male client for risk factors related to chronic illness. Which finding
should the nurse assess further?
○
... [Show More] Increase in abdominal fat deposits.
i. An increase in the abdominal girth is a risk factor for the development of metabolic
syndrome. According to the American Heart Association, men with a waist size 40 inches
or larger and women 35 inches or larger double their risk factor of developing CAD and
increase their chances 5Xs of developing DMII.
2. The nurse is caring for a client who is receiving chemotherapy for non-Hodgkin’s lymphoma.
Laboratory results reveal a platelet count of 10,000/mL. Which action should the nurse
implement?
○ Check stools for occult blood.
i. Platelet counts less than 100,000/mm3 are indicative of thrombocytopenia, a common
side effect of chemotherapy. A client with thrombocytopenia should be assessed
frequently for occult bleeding in the emesis, sputum, feces, urine, nasogastric secretions,
or wounds.
3. A 24-year-old female client diagnosed with a human papillomavirus infection (HPV) is angry at
her ex-boyfriend and says she is not going to tell him that he is infected. What response is best for
the nurse to provide?
○ "Even though you are angry, he should be told, so he can take precautions to
prevent the spread of infection."
i. Anger is a common emotional reaction when confronted with the diagnosis of a STI, and
often lay blame and project this anger at the sexual partner. Although HPV is not a
reportable disease in many states, all contacts should be informed of the infection,
treatment, transmission, and precautions to minimize infecting others.
4. The registered nurse (RN) is caring for an older client who recently experienced a fractured pelvis
from a fall. Which assessment finding is most important for the RN to report the healthcare
provider?
○ Dyspnea
i. A client with a large bone fracture is at risk for intramedullary fat leaking into the
bloodstream and becoming embolic. Dyspnea is an indication of fat embolism to the
lungs and should be reported to the healthcare provider immediately. [Show Less]