The nurse is providing teaching about the patient's laboratory values that increase the risk for coronary artery disease (CAD). Which of the following values should the nurse prioritize?.
Fasting triglyceride: 167 mg/dL.
HDL: 96 mg/dL.
LDL: 104 mg/dL.
Total serum cholesterol: 192 mg/dL.
The Correct Answer is A
Choice A rationale:
A fasting triglyceride level of 167 mg/dL is above the desirable level of less than 150 mg/dL, indicating a higher risk for CAD34.
Choice B rationale:
An HDL level of 96 mg/dL is considered good and is protective against CAD34.
Choice C rationale:
An LDL level of 104 mg/dL is near optimal/above optimal, but it’s not high enough to be a priority risk factor for CAD34.
Choice D rationale:
Total serum cholesterol of 192 mg/dL is within the desirable range of less than 200 mg/dL34.
So, the correct answer is A, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While a history of heart attack indicates a general risk for heart disease, it is not specifically associated with an increased risk for infective endocarditis.
Choice B rationale:
Immunizations do not typically increase the risk for infective endocarditis.
Choice C rationale:
Family history of endocarditis does not necessarily increase the risk for infective endocarditis.
Choice D rationale:
Dental work can introduce bacteria into the bloodstream, which can lead to infective endocarditis, especially in individuals with prosthetic heart valves.
So, the correct answer is D, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Cardiac-specific troponin is a protein that is released into the bloodstream when there is damage to the heart muscle, such as during an acute myocardial infarction (AMI). It is considered the most specific marker for AMI because it is found only in heart muscle. The normal range for troponin I is between 0 and 0.04 ng/mL2.
Choice B rationale:
Myoglobin is a protein found in heart and skeletal muscles. While it can be elevated in AMI, it is not as specific as troponin because it is also found in skeletal muscles. The normal levels of myoglobin are 25 to 72 ng/mL4.
Choice C rationale:
Homocysteine is an amino acid in the blood, and high levels can increase the risk of heart disease. However, it is not specific for AMI5. The normal range of homocysteine levels are less than 15 micromoles per liter.
Choice D rationale:
C-reactive protein (CRP) is a marker of inflammation in the body and can be elevated in various conditions, including heart disease. However, it is not specific for AMI6. The normal CRP level is less than 0.9 milligrams per deciliter.
So, the correct answer is A, after analyzing all choices.
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