A 60-year-old male client who is African American has diabetes, a BMI of 27, blood pressure 150/90 mm Hg, cholesterol 242 mg/dL, triglycerides 240 mg/dL, LDL 200 mg/dL, and HDL 23 mg/dL. Which factors should the nurse identify as placing this client at risk for cardiovascular disease?
a. Race, age, and moderate weight
b. Obesity, low LDL, and diabetes
c. Diabetes, tobacco cessation, and obesity
d. Diabetes, hypertension, and age
c. Diabetes, tobacco cessation, and obesity
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. The current recommendation for LDL in clients with other risk factors for heart disease is 70-100 mg/dl.
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To prevent multiple organ dysfunction syndrome, nursing management of a patient includes
1. enforcing hand washing before and after touching a patient. 2. using Lactated Ringer's as the flush solution when administering blood products 3. reporting a pulse of 102, respirations of 18, and temperature of 99.9ºF. 4. administering antibiotics through a central line used for total parenteral nutrition.
Which dietary modification is appropriate for a child with chronic renal failure?
a. Decreased salt b. Decreased fat c. Increased potassium d. Increased phosphorus
After assessing the FHR tracing shown below, which of the following interventions should the nurse perform?
a. Turn the woman on her side. b. Administer oxygen by nasal cannula. c. Encourage the patient to push with each contraction. d. Provide the patient with caring labor support.
In assessing the joint range of motion of a patient's knees, the nurse notices the flexion is less than expected in both knees. What is the next appropriate action for the nurse?
a. Documenting this finding as expected for this patient because it occurs in both knees b. Palpating the suprapatellar pouch on each side of the quadriceps for contour, tenderness, and edema c. Using a goniometer to measure the flexion in both knees and comparing the results with expected flexion d. Applying opposing force to the lower leg while the patient tries to maintain flexion and extension