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A patient is diagnosed as having elevated cholesterol level.
The nurse is aware that plaque on the inner lumen of arteries begins as what?

Platelets and fibrin.

Fatty streaks.

White blood cells (WBC).

Foam cells.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Plaque formation in arteries does not start with platelets and fibrin.

Choice B rationale

Plaque begins with fatty streaks, which are the earliest signs of atherosclerosis and consist of lipid-laden cells in the arterial wall.

Choice C rationale

White blood cells are involved in the inflammatory process of atherosclerosis but do not represent the initial plaque formation.

Choice D rationale

Foam cells, which are lipid-laden macrophages, develop later in the process of plaque formation and contribute to the growth of atherosclerotic lesions. .

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Correct Answer is A

Explanation

Choice A rationale

Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.

Choice B rationale

Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.

Choice C rationale

Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.

Choice D rationale

Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.

A. Request an order for a renal function test prior to the administration of this drug. B. Teach the patient about the risk of combining herbal medication with this drug. C. Contact the doctor to discuss another type of antihypertensive medication. D. Administer the medication and monitor the patient’s serum glucose level.

Correct Answer is C

Explanation

Choice A rationale

Renal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.

Choice B rationale

While it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.

Choice C rationale

Propranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.

Choice D rationale

While monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .

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A patient is diagnosed as having elevated cholesterol level.The nurse is aware that plaque on the inner lumen of arteries begins as what?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a six-year-old child who had surgery that morning.The child is awake and lying very still in bed.What should the nurse do?

Correct Answer is A

Explanation

The nurse is performing an assessment on a patient who will begin taking propranolol (Inderol) to treat hypertension.The nurse learns that the patients have a history of asthma and diabetes.The nurse will take which action.

Correct Answer is C

Explanation

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A patient is diagnosed as having elevated cholesterol level.
The nurse is aware that plaque on the inner lumen of arteries begins as what?