A nurse is evaluating a client's laboratory results. The nurse should recognize that which of the following results places the client at risk for coronary heart disease?

HbA1c 5%

Fasting glucose 140 mg/dL

LDL 64 mg/dL

Total cholesterol 173 mg/dL

Answer and Explanation

The Correct Answer is B

Coronary heart disease (CHD) is a condition characterized by the buildup of plaque in the coronary arteries, leading to reduced blood flow to the heart. Several risk factors contribute to the development of CHD, including high blood glucose levels, high levels of low-density lipoprotein (LDL) cholesterol, and high total cholesterol levels.

HbA1c 5%: HbA1c is a measure of average blood glucose levels over the past 2-3 months. A level of 5% is within the target range for individuals without diabetes and indicates good glycemic control. It does not place the client at risk for CHD.

Fasting glucose 140 mg/dL: Fasting glucose levels above 126 mg/dL are considered diagnostic criteria for diabetes mellitus. A level of 140 mg/dL indicates hyperglycemia and suggests impaired glucose metabolism, which is a risk factor for CHD.

LDL 64 mg/dL: LDL cholesterol is often referred to as "bad" cholesterol, as elevated levels are associated with an increased risk of CHD. A level of 64 mg/dL is within the desirable range and does not place the client at risk for CHD.

Total cholesterol 173 mg/dL: Total cholesterol levels below 200 mg/dL are generally considered desirable. A level of 173 mg/dL is within the desirable range and does not place the client at risk for CHD.

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Correct Answer is B

Explanation

2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.

Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.

Therefore, this finding does not indicate a concern for diabetes.

Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.

Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.

Therefore, this finding does not indicate a concern for diabetes.

A. Provide a snack 30 min before treatments B. Administer antiemetics on a schedule C. Ensure foods are served hot D. Serve low carbohydrate meals

Correct Answer is B

Explanation

Administer antiemetics on a schedule. Antiemetics are medications used to prevent or relieve nausea and vomiting. By administering them on a schedule, the nurse can help manage and control the client's nausea more effectively.

Providing a snack 30 minutes before treatments is not an appropriate intervention for nausea associated with radiation therapy. In fact, eating before radiation therapy may worsen nausea in some individuals. It is generally recommended to have a light meal or snack a few hours before the treatment to avoid an empty stomach but also prevent overeating that can trigger nausea.

Ensuring foods are served hot is not a recommended intervention for nausea. In fact, hot foods may exacerbate nausea in some individuals. It is advisable to serve foods at a cooler or room temperature, as cooler foods may be better tolerated.

Serving low carbohydrate meals is not specific to managing nausea associated with radiation therapy. While some individuals may find low carbohydrate meals easier to digest, there is no strong evidence suggesting that they alleviate nausea specifically. The choice of meals should be based on the client's preferences, tolerance, and any dietary restrictions they may have.

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A nurse is evaluating a client's laboratory results. The nurse should recognize that which of the following results places the client at risk for coronary heart disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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