Mr. G is a 55-year-old African American who is in to see his primary care provider for a routine visit. His most recent labs included a lipid panel with cholesterol at 230, triglycerides 220, LDL 210, and HDL 23
Fasting glucose was 240 on the same date. Vital signs today are BP 125/83 and weight 230. His abdominal girth is 38 inches. Based on this information, Mr. G meets the criteria for: 1. Poorly controlled essential hypertension.
2. Pre-diabetes.
3. Morbid obesity.
4. Metabolic syndrome.
4
Rationale: A BP of 125/83 would be considered within normal range. A fasting glucose of 240 requires close monitoring and possible testing to determine if the patient has diabetes, since a diagnosis should not be made on a one-time variation in lab results. Obesity should be determined based on the client's height, weight, and BMI rather than weight alone. If Mr. G has a history of poorly controlled fasting blood sugar (> 100 mg /dl), an abdominal circumference of > 35 inches, and triglycerides > 150 mg/dl he would meet the diagnostic criteria for metabolic syndrome.
You might also like to view...
Today, the average life expectancy is
a. 70.2 years b. 75 years c. 79 years for women and 72.9 for men d. longer for men than for women
A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patient's obstetric history using the TPALM system?
a. Gravida 2, para 20120 b. Gravida 3, para 10011 c. Gravida 3, para 10110 d. Gravida 2, para 11110
Parents bring their 6-year-old son to the pediatrician who makes a preliminary diagnosis of Tourette syndrome. The pediatric nurse explains to the parents that:
Select all answers that apply. A) the tics can be controlled and stopped by the child. B) the tics are suppressible (can be stopped momentarily). C) the tics are suggestible (talking about them can trigger them). D) the tics are due to the physiological effects of a substance or medical condition.
The average human ________ temperature is indicated by G on the Celsius thermometer.
Fill in the blank(s) with the appropriate word(s).