A nurse is evaluating a client's laboratory results. The nurse should recognize which of the following results places the client at risk for coronary heart disease.
HbA1c 5%.
LDL 64 mg/dL.
Total cholesterol 173 mg/dL.
Fasting glucose 140 mg/dL.
The Correct Answer is D
Choice A rationale:
An HbA1c level of 5% is within the target range for good diabetes control. HbA1c represents the average blood glucose level over the past two to three months, and an HbA1c of 5% indicates well-managed blood glucose levels.
Choice B rationale:
An LDL level of 64 mg/dL is within the recommended range for individuals at risk for heart disease. Lower LDL levels are associated with reduced risk, but 64 mg/dL is not a concerning value and is not typically associated with an increased risk of coronary heart disease.
Choice C rationale:
A total cholesterol level of 173 mg/dL is within the desirable range for adults. While it's important to consider both LDL and HDL cholesterol levels, the total cholesterol value alone is not sufficient to indicate a significant risk of coronary heart disease.
Choice D rationale:
A fasting glucose level of 140 mg/dL indicates hyperglycemia (elevated blood glucose) and is a significant risk factor for coronary heart disease. Hyperglycemia is associated with increased oxidative stress, inflammation, and vascular damage, all of which contribute to the development of cardiovascular complications in individuals with diabetes. It's crucial to manage blood glucose levels to reduce the risk of heart disease and other diabetes-related complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Omega-3 fatty acids.
Choice A rationale:
Magnesium is generally abundant in a vegan diet, as it is found in many plant-based foods such as nuts, seeds, and leafy green vegetables.
Choice B rationale:
Vitamin A can be obtained from plant sources in the form of beta-carotene, which the body can convert into vitamin A. Therefore, vegans are not at high risk for vitamin A deficiency if they consume a variety of colorful fruits and vegetables.
Choice C rationale:
Omega-3 fatty acids are primarily found in fish and other seafood, which are not part of a vegan diet. While some plant-based sources like flaxseeds, chia seeds, and walnuts provide ALA (a type of omega-3), they may not be sufficient to meet the body’s needs for EPA and DHA, the more active forms of omega-3 fatty acids.
Choice D rationale:
Potassium is readily available in a wide range of fruits and vegetables, such as bananas, potatoes, and spinach, making it unlikely for vegans to be deficient in this nutrient.
Correct Answer is A
Explanation
The correct answer is choice A. “Fish and poultry are primary sources of heme iron.”
Choice A rationale:
Fish and poultry are indeed primary sources of heme iron, which is the type of iron found in animal products.Heme iron is more easily absorbed by the body compared to non-heme iron, which is found in plant-based foods.
Choice B rationale:
Cooking in a stainless steel skillet does not significantly increase the amount of iron in the food.While cooking in cast iron skillets can add some iron to the food, stainless steel does not have the same effect.
Choice C rationale:
Drinking iced tea with meals can actually decrease the amount of iron absorbed.Tea contains tannins, which can inhibit the absorption of non-heme iron from plant-based foods.
Choice D rationale:
Drinking orange juice with iron supplements can actually increase absorption, not decrease it.Vitamin C, found in orange juice, enhances the absorption of non-heme iron.
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