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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 B

Explanation

A. Certain antihistamines can worsen urinary retention in BPH, so informing the allergist is a good practice.

B. Alcohol, including wine, can worsen the symptoms of BPH by increasing urinary retention and bladder discomfort. The client needs further teaching regarding the effects of alcohol on BPH symptoms.

C. It is advisable to avoid large volumes of fluids in the morning, as this can exacerbate BPH symptoms.

D. Caffeine can irritate the bladder and worsen BPH symptoms, so weaning off coffee is a helpful measure.

A. A 19-yr-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness. B. A 35-yr-old client with heavy spotting after having a progestin- containing IUD (Mirena) inserted a month ago. C. A 39-yr-old client who is complaining of 4/10 pain after an abdominal hysterectomy. D. A 42-yr-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago.

Correct Answer is A

Explanation

A. A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness: This is the correct choice. Fever and weakness in the context of menorrhagia suggest a possible infection (e.g., toxic shock syndrome) or severe blood loss, which requires immediate evaluation and intervention.

B. A 35-year-old client with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago: Spotting after IUD insertion is common and does not suggest an immediate threat to the client’s health.

C. A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy: Mild pain after a hysterectomy is expected and not an emergency.

D. A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago: While secondary amenorrhea requires evaluation, it is not as urgent as a client with signs of possible infection or blood loss.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?

Correct Answer is B

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Correct Answer is A

Explanation

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