A nurse reviews a client's laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)
Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L)
Total cholesterol: 280 mg/dL (7.3 mmol/L)
Serum albumin: 4 g/dL (5.8 mcmol/L)
High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)
Triglycerides: 200 mg/dL (2.3 mmol/L)
Correct Answer : A,B,E
A. LDL of 160 mg/dL is elevated, which is a risk factor for atherosclerosis.
B. Total cholesterol of 280 mg/dL is above the recommended level, increasing the risk of atherosclerosis.
C. Serum albumin is within the normal range and does not indicate atherosclerosis risk.
D. HDL cholesterol at 50 mg/dL is considered within a normal protective range and is not indicative of atherosclerosis risk.
E. Triglycerides of 200 mg/dL are also elevated, contributing to the risk for atherosclerosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing IV fluids would exacerbate the client's fluid overload and worsen heart failure symptoms.
B. Trendelenburg positioning is typically used for shock management, but this client’s fluid overload needs to be addressed first.
C. Monitoring is important but does not address the immediate need to manage fluid overload.
D. The client's elevated CVP, PAWP, and BNP levels indicate fluid overload and heart failure with reduced ejection fraction. The priority is to reduce fluid overload by administering IV diuretics, which will help reduce the pressure in the heart and lungs, improving oxygenation and decreasing the risk of pulmonary edema.
Correct Answer is D
Explanation
A. Administering multiple vitamins and minerals via IV alone would not be sufficient for adequate nutrition in this patient, especially given the large burn surface area.
B. Total parenteral nutrition (TPN) may be used if enteral feeding is not possible, but enteral feeding is usually preferred when feasible.
C. Encouraging oral intake is not appropriate for a client with a 60% TBSA burn, as they would likely require more significant nutritional support than oral intake can provide.
D. Enteral feeding is the preferred method for nutrition in burn patients as it maintains gut integrity and prevents the complications associated with parenteral nutrition. Although the client has absent bowel sounds and a distended abdomen, this can be common early in burn care, and enteral feedings should be started as soon as feasible to prevent malnutrition and promote recovery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.