A 45-year-old patient who has a positive family history but no personal history of coronary artery disease is seen by the primary care NP for a physical examination. The patient has a body mass index of 27 and a blood pressure of 130/78 mm Hg
Laboratory tests reveal low-density lipoprotein, 110 mg/dL; high-density lipoprotein, 70 mg/dL; and triglycerides, 120 mg/dL. The patient does not smoke but has a sedentary lifestyle. The NP should recommend: a. 30 minutes of aerobic exercise daily.
b. taking 81 to 325 mg of aspirin daily.
c. beginning therapy with a statin medication.
d. starting a thiazide diuretic to treat hypertension.
A
This patient is overweight but not obese, and blood lipids are within normal limits. Blood pressure is not elevated. Exercise is recommended as an initial risk reduction strategy because of its positive effects on blood pressure and blood lipids. Aspirin is generally given to patients older than 55 to 65 who are at risk. Statin medications and thiazide diuretics are not indicated.
You might also like to view...
Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention?
A) Yearly Pap tests B) Testicular self-examination C) Teaching patients to wear sunscreen D) Screening mammograms
As a general rule, how much liquid soap should the nurse use for effective handwashing? At least:
a. 2 mL b. 3 mL c. 6 mL d. 7 mL
What is the basis for type 2 diabetes treatment?
A) Insulin administration B) Vigorous exercise C) High protein diet D) Blood sugar control
The nurse is reinforcing teaching provided to a patient with aortic regurgitation on how to reduce cardiac workload. Which patient statement indicates that teaching has been effective?
a. "Lie flat when in bed." b. "Elevate the legs hourly." c. "Eat three large meals daily." d. "Alternate activity with rest."