The nurse is assessing a 39-year-old client with a blood pressure (BP) of 120/78 mm Hg at rest, a total cholesterol level of 210 mg/dL, HDL cholesterol of 58 mg/dL, triglycerides of 120 mg/dL, and a fasting blood glucose level of 98 mg/dL. Which risk factor for coronary artery disease requires further follow-up?
Diabetes
HDL cholesterol
Triglycerides
Total cholesterol
The Correct Answer is D
A. A fasting blood glucose level of 98 mg/dL is within the normal range (70–99 mg/dL), indicating no immediate concern for diabetes.
B. An HDL cholesterol level of 58 mg/dL is considered protective against CAD, as higher HDL levels are associated with a lower risk of heart disease.
C. Triglyceride levels of 120 mg/dL are within the normal range (less than 150 mg/dL), so they do not require follow-up.
D. A total cholesterol level of 210 mg/dL is slightly above the recommended level of less than 200 mg/dL. Elevated cholesterol, particularly LDL cholesterol, is a key modifiable risk factor for coronary artery disease (CAD).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A decrease in LDL cholesterol is a desired effect of simvastatin and does not indicate a problem.
B. Generalized muscle aches are a significant concern for patients on statin medications, such as simvastatin. This can be indicative of a serious side effect called rhabdomyolysis, a condition where muscle tissue breaks down and can lead to kidney damage. This should be communicated to the healthcare provider immediately for further evaluation and possible discontinuation of the medication.
C. Nausea when taking the medication on an empty stomach is a common side effect and may be addressed with guidance on when to take the medication.
D. Clear, light yellow urine is normal and does not require further action.
Correct Answer is ["8"]
Explanation
Calculate the total infusion time:
Total volume (mL) / Infusion rate (mL/hr) = Infusion time (hours)
1000 mL / 125 mL/hr = 8 hours
Therefore, the IV pump should infuse the 1-liter bag of 0.9% sodium chloride over 8 hours.
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