The client asks which components of the lipid profile should be low. What is the most appropriate response by the nurse?
1. VLDL should be high.
2. LDL should be low.
3. Total cholesterol levels do not give sufficient information.
4. HDL should be low.
Correct Answer: 2
Rationale 1: "VLDL should be high" is incorrect because VLDL should be within normal limits, and high levels are not well understood but are associated with increased risk of pancreatitis.
Rationale 2: Low-density lipoprotein (LDL or the "bad" cholesterol should be low).
Rationale 3: "Total cholesterol levels do not give sufficient information" is incorrect because total cholesterol levels should be within normal limits, and the components of the total determine what treatment may be selected.
Rationale 4: "HDL should be low" is incorrect because high-density lipoprotein (HDL or the "good" cholesterol) levels should be high.
Global Rationale: Low-density lipoprotein (LDL or the "bad" cholesterol should be low). VLDL should be high is incorrect because VLDL should be within normal limits, and high levels are not well understood but are associated with increased risk of pancreatitis. Total cholesterol levels do not give sufficient information is incorrect because total cholesterol levels should be within normal limits, and the components of the total determine what treatment may be selected. HDL should be low is incorrect because high-density lipoprotein (HDL or the "good" cholesterol) levels should be high.
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