A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable? (Select All that Apply.)
Family history
Sedentary Lifestyle
Smoking
Diabetes
Correct Answer : B,C,D,E
A. Family history is a non-modifiable risk factor as it cannot be changed or controlled.
B. A sedentary lifestyle is a modifiable risk factor; increasing physical activity can reduce the risk of heart disease.
C. Smoking is a modifiable risk factor; quitting smoking can significantly decrease the risk of heart disease.
D. Diabetes can be managed and controlled through lifestyle changes and medication, making it a modifiable risk factor.
E. Hypertension is also a modifiable risk factor; it can be managed through diet, exercise, and medication.
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Correct Answer is B
Explanation
A. Primary progressive multiple sclerosis is characterized by a gradual progression of symptoms without relapses, so this does not match the client's pattern.
B. Relapsing-remitting multiple sclerosis is defined by episodes of exacerbation (active symptoms) followed by periods of remission (no symptoms), which aligns with the client's description.
C. Secondary progressive multiple sclerosis follows an initial relapsing-remitting course but leads to a more continuous decline in function, so it does not match the pattern described.
D. Clinically isolating syndrome refers to a single episode of neurological symptoms but does not indicate the pattern of relapses and remissions typical of relapsing-remitting multiple sclerosis.
Correct Answer is ["A","B","D"]
Explanation
A. Pain behind the ear is a common early symptom of Bell's palsy due to inflammation of the facial nerve.
B. Muscle distortion occurs as the facial muscles on the affected side weaken or become paralyzed, leading to an asymmetrical appearance.
C. Facial twitching is not a common manifestation of Bell's palsy; rather, it involves muscle paralysis or weakness.
D. Impaired taste, especially in the anterior two-thirds of the tongue, can occur due to facial nerve involvement.
E. Hearing loss is not typically associated with Bell's palsy; it usually affects facial motorfunction, not auditory function.