The nurse is taking a health history from a 24-year-old client with hypertrophic cardiomyopathy (HC). Which of the following information obtained by the nurse is most relevant?
A)The client reports using cocaine once at age 16.
B)The client has a history of a recent upper respiratory infection.
C)The client's 29-year-old brother had a sudden cardiac arrest.
D)The client has a family history of coronary artery disease.

Question

Quizplus · Accepted Answer

About half of all cases of HC have a genetic basis, and it is the most common cause of sudden cardiac death in otherwise healthy young people; the information about the client's brother will be helpful in planning care (such as an automatic implantable
cardioverter-defibrillator [AICD]) for the client and in counselling other family members. The client should be counselled against use of stimulant drugs, but the one-time use indicates that the client is not at current risk for cocaine use. Viral infections and CAD are risk factors for dilated cardiomyopathy, but not for HC.

The Nurse Is Taking a Health History from a 24-Year-Old