The nurse is teaching a client who has been prescribed medication to manage HDL cholesterol. Which statement by the client indicates that the teaching has been understood?
1. "Treatment of HDL cholesterol will also decrease my LDL cholesterol level."
2. "Treatment of HDL cholesterol will also raise my LDL cholesterol level."
3. "If I can increase my HDL level, I will be less likely to have a heart attack."
4. "If I can decrease my HDL level, I will be less likely to have a heart attack."
Correct Answer: 3
Rationale 1: Increasing HDL cholesterol and decreasing LDL cholesterol are accomplished by separate pharmacologic mechanisms.
Rationale 2: Raising HDL cholesterol by drug therapy is not a cause of increased LDL cholesterol.
Rationale 3: An increase of HDL cholesterol has the strongest association with a reduced risk of acute coronary syndromes.
Rationale 4: An HDL level that is below the optimal range increases risk for acute coronary syndromes because it represents decreased capacity for carrying cholesterol from peripheral tissues to the liver for metabolism and excretion from the body.
Global Rationale: An increase of HDL cholesterol has the strongest association with a reduced risk of acute coronary syndromes. Increasing HDL cholesterol and decreasing LDL cholesterol are accomplished by separate pharmacologic mechanisms. Raising HDL cholesterol by drug therapy is not a cause of increased LDL cholesterol. An HDL level that is below the optimal range increases risk for acute coronary syndromes because it represents decreased capacity for carrying cholesterol from peripheral tissues to the liver for metabolism and excretion from the body.
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