A client asks the nurse to explain what metabolic syndrome is. Which of the following will the nurse include in education about risk factors for this syndrome? (Select all that apply.)
Clinical obesity defined by abnormally high BMI or waist circumference
Elevated blood pressure
High triglycerides
Hypercholesterolemia
Hyperglycemia
Correct Answer : A,B,C,D,E
Choice A Reason: This is correct because clinical obesity is a risk factor for metabolic syndrome. Clinical obesity is defined by having a body mass index (BMI) of 30 or higher, or a waist circumference of more than 40 inches for men or 35 inches for women. Obesity can increase insulin resistance and inflammation, which can lead to metabolic syndrome.
Choice B Reason: This is correct because elevated blood pressure is a risk factor for metabolic syndrome. Elevated blood pressure is defined by having a systolic blood pressure of 130 mm Hg or higher, or a diastolic blood pressure of 85 mm Hg or higher. High blood pressure can damage the blood vessels and increase the risk of cardiovascular disease, which is associated with metabolic syndrome.
Choice C Reason: This is correct because high triglycerides are a risk factor for metabolic syndrome. Triglycerides are a type of fat that circulates in the blood and provides energy for the cells. High triglycerides are defined by having a level of 150 mg/dL or higher. High triglycerides can increase the risk of fatty liver disease and pancreatitis, which are related to metabolic syndrome.
Choice D Reason: This is correct because hypercholesterolemia is a risk factor for metabolic syndrome. Hypercholesterolemia is defined by having a total cholesterol level of 200 mg/dL or higher, or a low-density lipoprotein (LDL) cholesterol level of 100 mg/dL or higher. LDL cholesterol is also known as "bad" cholesterol because it can build up in the arteries and cause plaque formation and narrowing, which can lead to cardiovascular disease and metabolic syndrome.
Choice E Reason: This is correct because hyperglycemia is a risk factor for metabolic syndrome. Hyperglycemia is defined by having a fasting blood glucose level of 100 mg/dL or higher, or a hemoglobin A1c level of 5.7% or higher. Hemoglobin A1c is a measure of average blood glucose over three months. Hyperglycemia can indicate impaired glucose metabolism and insulin resistance, which are hallmarks of metabolic syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Resting in bed for at least 2 days is not necessary after cataract surgery. The client should resume normal activities as soon as possible, but avoid strenuous activities that increase intraocular pressure.
Choice B reason: Deep breathing and coughing four times a day are not related to cataract surgery. This is a technique to prevent respiratory complications after abdominal or thoracic surgery.
Choice C reason: After two days, a creamy discharge is not normal. This could indicate an infection or inflammation of the eye. The client should report any changes in vision, pain, redness, swelling, or discharge to the provider.
Choice D reason: Keeping the head up and straight is the correct instruction. This helps to prevent increased intraocular pressure and bleeding in the eye. The client should also avoid rubbing or touching the eye, wearing sunglasses to protect from bright light, and using prescribed eye drops as directed.
Correct Answer is B
Explanation
Choice A Reason: The test is not inconclusive, but rather positive for conductive hearing loss. The Weber test involves placing a vibrating tuning fork on the center of the forehead and asking the client which ear hears the sound louder. It can help differentiate between conductive and sensorineural hearing loss.
Choice B Reason: This is the correct choice. The client has conductive hearing loss, which is a type of hearing loss that occurs when sound waves are blocked or reduced in the outer or middle ear. It can be caused by earwax, infection, fluid, perforation, or trauma. In conductive hearing loss, the Weber test shows lateralization to the affected ear, meaning the sound is heard louder in that ear.
Choice C Reason: The client does not have normal hearing, but rather conductive hearing loss. In normal hearing, the Weber test shows no lateralization, meaning the sound is heard equally in both ears.
Choice D Reason: The client does not have sensorineural hearing loss, but rather conductive hearing loss. Sensorineural hearing loss is a type of hearing loss that occurs when there is damage to the inner ear or auditory nerve. It can be caused by aging, noise exposure, disease, or drugs. In sensorineural hearing loss, the Weber test shows lateralization to the unaffected ear, meaning the sound is heard louder in that ear.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today