A nurse is reviewing the laboratory results for a client who started a weight loss program 3 months ago. Which of the following findings is an indication that the program has been effective?
Increased glycosylated hemoglobin
Increased LDL
Increased cholesterol
Increased HDL
The Correct Answer is D
A) Increased glycosylated hemoglobin (HbA1c) is not an indication of a successful weight loss program. In fact, it typically indicates poor blood sugar control and may suggest worsening diabetes management or insulin resistance. Successful weight loss and improved lifestyle habits should lead to better blood sugar control and a reduction in HbA1c levels.
B) Increased low-density lipoprotein (LDL) cholesterol is not an indication of a successful weight loss program. Elevated LDL cholesterol levels are associated with an increased risk of cardiovascular disease and are often a target for reduction in weight management interventions. Therefore, successful weight loss should be associated with a decrease in LDL cholesterol levels.
C) Increased total cholesterol levels are not indicative of a successful weight loss program. High cholesterol levels, especially when accompanied by elevated LDL cholesterol and decreased high-density lipoprotein (HDL) cholesterol, are associated with an increased risk of cardiovascular disease. Successful weight loss should lead to improvements in lipid profiles, including reductions in total cholesterol levels.
D) Increased high-density lipoprotein (HDL) cholesterol is an indication of a successful weight loss program. HDL cholesterol, often referred to as "good" cholesterol, plays a protective role in cardiovascular health by helping to remove excess cholesterol from the bloodstream and transporting it to the liver for excretion. Higher levels of HDL cholesterol are associated with a reduced risk of cardiovascular disease. Therefore, an increase in HDL cholesterol levels following a weight loss program suggests improved cardiovascular health and metabolic outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A) Poultry and eggs are both examples of complete proteins. Complete proteins contain all nine essential amino acids in adequate proportions. Poultry, such as chicken and turkey, as well as eggs, provide high-quality protein sources that contain essential amino acids necessary for various bodily functions and tissue repair.
B) Legumes, such as beans, lentils, and peas, are incomplete proteins. While they are excellent sources of protein, they do not contain all nine essential amino acids in sufficient quantities. However, when combined with grains or other complementary proteins, legumes can provide a complete protein profile.
C) Grains, such as rice, wheat, and oats, are incomplete proteins. Like legumes, grains lack certain essential amino acids. However, when paired with legumes or other complementary proteins, grains can contribute to a complete protein profile.
D) Nuts are incomplete proteins. While nuts are nutritious and rich in protein, they do not contain all nine essential amino acids in adequate proportions to be considered complete proteins. However, when paired with grains or other complementary proteins, nuts can help create a complete protein profile.
Correct Answer is C
Explanation
A) The client is immune to the rubella virus:
A negative rubella titer indicates that the client is not immune to the rubella virus. Therefore, this interpretation is incorrect.
B) The client requires a rubella vaccination at this time:
A negative rubella titer indicates susceptibility to rubella and the need for vaccination. However, administering a live virus vaccine like rubella during pregnancy is contraindicated due to the risk of fetal harm. Therefore, this interpretation is incorrect.
C) The client requires a rubella immunization following delivery:
A negative rubella titer during pregnancy indicates susceptibility to rubella. After delivery, the client should receive a rubella immunization to prevent rubella infection in future pregnancies. Rubella vaccination is safe postpartum and helps protect the mother and future pregnancies. Therefore, this interpretation is correct.
D) The client is not experiencing a rubella infection at this time:
A rubella titer measures the level of antibodies to the rubella virus, not the presence of an active infection. A negative rubella titer indicates the absence of immunity to rubella, not the absence of an active infection. Therefore, this interpretation is incorrect.
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