A. African Americans
B. Whites
C. Asians
D. American Indians
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, A. African American adults have a decreased risk of fractures when
compared to white adults, and Hispanic women have a decreased risk of
fractures compared to white women. The difference in fracture rates may
be traced to childhood, where African American and Hispanic children
have shown significantly higher bone strength than white children show.
There is greater bone density at specific bone sites in African American and
Hispanic children.
Nurses can best help older clients prevent hypertension by teaching:
a. Low-fat, low-cholesterol diets.
b. The importance of exercise.
c. How to handle stressful situations.
d. How to maintain a normal blood pressure.
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d. How to maintain a normal blood pressure.
Rationale: Hypertension is a major risk factor for other cardiovascular
conditions. In persons older than 50, systolic blood pressure greater than
140 mm Hg is a much more important cardiovascular disease risk factor
than is diastolic blood pressure. The risk of cardiovascular disease,
beginning at 115/75 mm Hg, doubles with each increment of 20/10 mm Hg.
Answers 1, 2, and 3 are important elements to include in education of a
patient with blood pressure elevation, and are included in the correct
answer.
6. When assessing for the presence of a herniated nucleus pulposus, the examiner
would:
A. raise each of the patient's legs straight while keeping the knee extended.
,B. ask the patient to bend over and touch the floor while keeping the legs straight.
C. instruct the patient to do a knee bend.
D. abduct and adduct the patient's legs while keeping the knee extended.
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A. raise each of the patient's legs straight while keeping the knee extended.
Rationale:
A. The straight leg raising (Lasègue) test reproduces back and leg pain and
helps confirm the presence of a herniated nucleus pulposus. The examiner
raises each leg straight while keeping the knee in extension.
B. To assess for a spinal curvature, the examiner will have the person will
bend over and touch the toes with the knee in extension.
C. Muscle extension can be assessed by instructing the person to rise from
a squatting position without using the hands for support.
D. To assess range of motion, the leg should be abducted and adducted
with the knee extended.
The nurse rates a client's biceps muscle strength as a 3. What does this rating mean?
a. The client has full range of motion against gravity with moderate resistance.
b. The client has full range of motion without gravity.
c. The client has full range of motion with gravity.
d. The client has full range of motion against gravity with full resistance.
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c. The client has full range of motion with gravity.
Rationale: The rating of 3 of muscle strength is considered fair and means
the client has full range of motion with gravity.
, Modification of lifestyle behaviors to help manage hypertension does not include
which of the following?
a. Weight loss of even 10 pounds
b. The DASH diet
c. Fruits, vegetables, and whole grains
d. Alcohol intake with meals
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d. Alcohol intake with meals
Rationale: Weight loss of even 10 pounds; fruits, vegetables, and whole
grains; the DASH diet; and a daily exercise regimen will help reduce high
blood pressure. Alcohol intake with meals should be reduced to help
manage high blood pressure.
extension
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movement in which a limb is placed in a straight position
The nurse is assessing a client with joint pain and is trying to decide whether it is
inflammatory or non-inflammatory. Which of the following symptoms is consistent with
an inflammatory process?