The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

Elevated high-density lipoproteins.

Increased triglyceride levels.

Hypothyroidism.

Blood pressure of 150/96 mmHg.

Abdominal obesity.

Hyperglycemia.

Answer and Explanation

Correct Answer : B,D,E,F

Choice A reason: Elevated high-density lipoproteins (HDL) are actually protective against heart disease.
Choice B reason: Increased triglyceride levels are a risk factor for vascular disease and should be addressed.
Choice C reason: Hypothyroidism is not a component of metabolic syndrome but should be managed if present.
Choice D reason: High blood pressure is a component of metabolic syndrome and increases the risk for vascular disease.
Choice E reason: Abdominal obesity is a key component of metabolic syndrome and is associated with increased risk for diabetes and vascular disease.
Choice F reason: Hyperglycemia is a sign of impaired glucose tolerance or diabetes and is a component of metabolic syndrome.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Enlarged painless, firm cervical lymph nodes are a classic sign of Hodgkin’s disease.
Choice B reason: A protuberant, firm abdomen is not a specific finding associated with Hodgkin’s disease.
Choice C reason: A soft to hard, nontender mass in the pelvic area could indicate various conditions but is not specific to Hodgkin’s disease.
Choice D reason: Painful lymph nodes are more commonly associated with infections, not Hodgkin’s disease.

A. Encourage the client to use hard candy frequently to help relieve thirst. B. Measure the client’s capillary glucose reading at regular intervals. C. Withhold the next diuretic dose until contacting the healthcare provider. D. Provide the client with additional oral fluids of her preference.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Hard candy can help relieve the sensation of thirst without causing fluid overload.
Choice B reason: Measuring capillary glucose is not directly related to managing thirst in SIADH.
Choice C reason: Withholding diuretics without medical advice could be harmful and is not related to managing thirst.
Choice D reason: Providing additional oral fluids may exacerbate fluid retention in SIADH and is not recommended.

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The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?

Correct Answer is A

Explanation

A patient with chronic syndrome of inappropriate anti-diuretic hormone (SIADH) reports to the nurse that they feel constantly thirsty. Which action should the nurse take?

Correct Answer is A

Explanation

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