A older adult client tells the nurse that of having a high-density lipoprotein (HDL) level of 85 mg/dL (2.2 mmol/L). Which action should the nurse take?
Reference Range:
- High Density Lipoproteins (HDL) [greater than 45 mg/dL (greater than 0.75 mmol/L)]
Explain that the client may need medication therapy.
Ask the client about hereditary cardiac risk factors.
Confirm that this value is helpful in reducing cardiac risk.
Encourage the client to reduce consumption of fatty foods.
The Correct Answer is C
Rationale
A. This is not appropriate because a high HDL level (85 mg/dL) is beneficial and does not typically necessitate medication therapy solely for raising HDL.
B. This is reasonable to assess overall cardiovascular risk factors, including hereditary factors, which can influence the management and prevention of heart disease.
C. It reinforces the positive impact of a high HDL level on reducing cardiovascular risk and provides the client with valuable information about their health status.
D. While dietary advice is important, specifically targeting fatty foods may not be necessary if the client's HDL level is already high. General dietary recommendations for heart health are beneficial but should be tailored to individual needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C"}
Explanation
Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing thromboembolism
Rationale
Prolonged immobility during labor and instrumental delivery are risk factors for venous thromboembolism (VTE) due to stasis of blood flow in the lower extremities. In addition, epidural anesthesia can contribute to venous stasis by impairing mobility and reducing the ability to feel discomfort or urgency to move.
The immediate postpartum period, especially after a prolonged labor and delivery, poses an increased risk of VTE due to hypercoagulability and vascular damage.
Correct Answer is ["18"]
Explanation
(Desired Dose * Volume of IV Bag) / (Concentration of Drug in IV Bag * Time) = Infusion Rate.
For the given prescription, the calculation would be: (900 units/hr * 500 mL) / (25,000 units) = 18 mL/hr.
Therefore, the nurse should program the infusion pump to deliver 18 mL/hr.
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