The patient says to the nurse, "My doctor says I have heart disease and I need to decrease cholesterol in my diet. How did this happen?" What is the best response by the nurse?
1. "The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in them."
2. "Low density lipoprotein (LDL) cholesterol is converted to saturated fat, which is stored in your coronary arteries."
3. "It is a good idea to decrease low density lipoprotein (LDL) cholesterol in your diet, although current research has not proven a correlation yet."
4. "Too much low density lipoprotein (LDL) cholesterol narrows all the arteries in your body so your heart does not receive enough blood to be healthy."
Correct Answer: 1
Rationale: Storage of cholesterol in the lining of coronary blood vessels contributes to plaque buildup and atherosclerosis; this contributes significantly to coronary artery disease. Low density lipoprotein (LDL) cholesterol is not converted to saturated fat and stored in the coronary arteries. Coronary artery disease is caused by plaque build-up in the coronary arteries, not the peripheral arteries. For several years, research has demonstrated a correlation between high low density lipoprotein (LDL) levels and coronary artery disease.
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The RN has assigned the nursing assistant (NA) a task. The NA becomes angry and begins yelling at the RN. Which of the following is the best approach for the RN to take?
a. Tell the NA that you will let her leave early if she will do this for you. b. Ignore her and reassign the task. c. Meet with the NA to explore his or her feelings and the reason for resistance. d. Call the nursing supervisor and report the NA for insubordination.
A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery,because she also has twin 2-year-old children at home. The nurse should schedule the office visit for the newborn
1. within 48 hours of discharge. 2. within one week of discharge. 3. within two weeks of discharge. 4. when the infant is one month old.
During the process of self-exploration, it is important for a nurse to convey the message that the patient:
a. may be the victim of circumstances that created unsolvable psychosocial problems. b. is responsible for his or her own behavior, including maladaptive coping responses. c. cannot hope to make any changes without some professional, therapeutic guidance. d. needs to focus on changing the attitudes and behaviors of significant others.
The pregnant client plans to breast-feed her baby. She asks the nurse about the use of herbal products during breast-feeding. Which response by the nurse is the most appropriate?
1. "That should be fine as long as at least 12 hours pass between the time you use the product and when you breast-feed." 2. "Most drugs can be transferred to the infant during breast-feeding, so this is not recommended." 3. "Herbal products are considered natural, so it should be fine to use them during breast-feeding." 4. "Be sure to check the label to see whether the herbal product can be used during breast-feeding."