Mr. D is an African American diabetic who is 60 years old. His weight is 190 pounds and his BMI > 25. He has several co-morbid conditions including hypertension, hyperlipidemia, and smoking
His most recent lipid panel results showed cholesterol 242, triglycerides 240, LDL 200, and HDL 23. The nurse should inform him that he has several risks for developing heart disease including: 1. Race, age, and moderate weight.
2. Obesity, low LDL, and diabetes.
3. Diabetes, tobacco cessation, and obesity.
4. Diabetes, hypertension, and age.
4
Rationale: Being African American, being male, and increasing age are all risk factors for developing heart disease. Obesity and diabetes are also risk factors, but can be modified with diet, exercise, and good blood sugar control. Cigarette smoking is an independent risk for heart disease. The current recommendation for LDL in clients with other risk factors for heart disease is 70–100 mg/dl.
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