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A nurse reviews a client's laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)

Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L)

Total cholesterol: 280 mg/dL (7.3 mmol/L)

Serum albumin: 4 g/dL (5.8 mcmol/L)

High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)

Triglycerides: 200 mg/dL (2.3 mmol/L)

Answer and Explanation

Correct Answer : A,B,E

A. LDL of 160 mg/dL is elevated, which is a risk factor for atherosclerosis.

B. Total cholesterol of 280 mg/dL is above the recommended level, increasing the risk of atherosclerosis.

C. Serum albumin is within the normal range and does not indicate atherosclerosis risk.

D. HDL cholesterol at 50 mg/dL is considered within a normal protective range and is not indicative of atherosclerosis risk.

E. Triglycerides of 200 mg/dL are also elevated, contributing to the risk for atherosclerosis.

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Correct Answer is A

Explanation

A. Tight shoes may indicate fluid retention in the lower extremities, which is a common symptom of right-sided heart failure. This condition leads to the backup of blood into the systemic circulation, causing peripheral edema.

B. Sleeping with two pillows may indicate left-sided heart failure, as the client may be experiencing orthopnea (difficulty breathing when lying flat).

C. Shortness of breath is more commonly associated with left-sided heart failure.

D. Waking up coughing every night is also a sign of left-sided heart failure, where pulmonary congestion leads to nocturnal coughing.

A. Ask Mrs. Smith where her husband is right now. B. Explain that the chart must contain an error. C. Apologize and declare confusion about the client. D. Ask the client about preferred forms of address.

Correct Answer is D

Explanation

A. Assuming the client is someone else's spouse based on a name may be inappropriate and could lead to misunderstanding.

B. The chart may not necessarily contain an error, and jumping to conclusions could be unprofessional.

C. Apologizing and declaring confusion may make the client uncomfortable. It's more respectful to inquire directly.

D. Asking the client about their preferred form of address is the most respectful and professional approach.

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A nurse reviews a client's laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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