The nurse is conducting client teaching about cholesterol levels. When discussing the client's elevated LDL and lowered HDL levels, the client shows an understanding of the significance of these levels by making what statement?

"Increased LDL and decreased HDL increase my risk of coronary artery disease."

"Increased LDL has the potential to decrease my risk of heart disease."

"The decreased HDL level will increase the amount of cholesterol moved away from the artery walls."

"The increased LDL will decrease the amount of cholesterol deposited on the artery walls."

Answer and Explanation

The Correct Answer is A

Elevated levels of LDL (low-density lipoprotein) cholesterol are associated with an increased risk of coronary artery disease (CAD). LDL cholesterol is often referred to as "bad" cholesterol because it can contribute to the formation of plaque in the arteries, leading to narrowing and blockage of the arteries supplying the heart. This increases the risk of developing CAD and related complications such as heart attack and stroke.

On the other hand, HDL (high-density lipoprotein) cholesterol is often referred to as "good" cholesterol. HDL cholesterol helps remove excess cholesterol from the bloodstream and transport it back to the liver for processing and excretion. Higher levels of HDL cholesterol are associated with a decreased risk of CAD because it helps to prevent the accumulation of cholesterol on artery walls.

Therefore, understanding that increased LDL and decreased HDL levels increase the risk of coronary artery disease demonstrates a good understanding of the significance of cholesterol levels and their impact on cardiovascular health.

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Correct Answer is D

Explanation

The nurse should prioritize notifying the surgeon and anesthesiologist as the ﬁrst action. The absent pulses, coolness, and mottled appearance of the leg indicate potential compromised blood ﬂow to the lower extremity, which could be a sign of vascular compromise or acute limb ischemia. These ﬁndings are concerning after the repair of an abdominal aortic aneurysm and require immediate medical attention.

Wrap both legs in a warming blanket: While it is important to maintain the client's body temperature, this action alone may not address the underlying issue of compromised blood ﬂow and potential limb ischemia. Notifying the surgeon and anesthesiologist is the priority to address the immediate concern.

Compare ﬁndings to the preoperative assessment of the pulses: While comparing ﬁndings to the preoperative assessment is important for evaluating the client's condition, it should not delay immediate action. The priority in this situation is to promptly notify the surgeon and anesthesiologist to address the potential vascular compromise.

Document the ﬁndings and recheck in 15 minutes: Documenting the ﬁndings is an important step in the nursing process, but it should not take precedence over immediate intervention. The concerning signs of absent pulses, coolness, and mottled appearance require urgent attention, and delaying notiﬁcation could lead to further complications.

A. Absent bilateral pedal pulses. B. Complaints of pain at the site of the incision. C. Distended, tender abdomen. D. An elevated temperature of 100 F

Correct Answer is A

Explanation

Absent bilateral pedal pulses indicate a potential vascular complication, such as impaired circulation or blood flow to the lower extremities. It may suggest compromised perfusion and could be a sign of arterial occlusion or thrombosis, which requires immediate intervention. The nurse should notify the healthcare provider promptly to assess the client's condition and initiate appropriate interventions to restore circulation to the lower extremities.

While complaints of pain at the site of the incision are significant, post-operative pain is expected after abdominal surgery. The nurse should assess the pain and provide appropriate pain management interventions, but it may not require immediate intervention unless the pain is severe or accompanied by other concerning symptoms.

A distended, tender abdomen could indicate various post-operative complications, such as bowel obstruction or peritonitis. Although it should be evaluated and reported to the healthcare provider, it may not require immediate intervention unless the client's condition deteriorates or other signs of a surgical emergency are present.

An elevated temperature of 100°F (37.8°C) alone, without other signs of infection or systemic complications, may not necessarily require immediate intervention. It could be a normal response to surgery or a mild post-operative infection. The nurse should monitor the client's temperature and assess for other signs of infection, and if necessary, report it to the healthcare provider for further evaluation.

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The nurse is conducting client teaching about cholesterol levels. When discussing the client's elevated LDL and lowered HDL levels, the client shows an understanding of the significance of these levels by making what statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client immediately after repair of an abdominal aortic aneurysm. On assessment, the client has absent popliteal, posterior tibial, and dorsalis pedis pulses. The leg cool and mottled. Which action should the nurse take ﬁrst?

Correct Answer is D

Explanation

Which assessment data would require immediate intervention by the nurse for the client who is six (6) hours post-operative abdominal aortic aneurysm repair?

Correct Answer is A

Explanation

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