The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?
Noncompliance, related to dietary regime
Deficient knowledge, related to need for altered lifestyle
Impaired health maintenance, related to the effects of drug therapy
Self-care deficit, related to the disease process
The Correct Answer is B
Explanation:
A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.
B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.
C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.
D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hearing loss is not a common adverse effect of phenelzine (Nardil).
B. Orthostatic hypotension is a common adverse effect of phenelzine due to its monoamine oxidase inhibitor (MAOI) activity, leading to decreased blood pressure upon standing.
C. Weight loss is not a common adverse effect of phenelzine and may be more indicative of other factors or conditions.
D. Gastrointestinal bleeding is not a common adverse effect of phenelzine.
Correct Answer is B
Explanation
A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.
B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.
C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.
D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.
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