Which health problems does the nurse teach a patient can be caused by chronic hyperlipidemia? (Select all that apply.)
a. Hypertension
b. Pancreatitis
c. Peptic ulcer disease
d. Xanthoma
e. Diabetes mellitus
A, B, D
Chronic hyperlipidemia contributes to development of narrowed arteries. It can cause health problems including atherosclerosis, coronary artery disease (angina, heart attack), hypertension, pancreatitis, peripheral vascular disease, stroke, and xanthomas (skin atheromas or abnormal fat deposits).
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The nurse working in a custodial care facility walks into a room to administer medication and finds the client having a sexually intimate encounter with another client. The nurse's best action at this time is to:
1. Make a noise to indicate that the nurse is in the room, and wait for the clients to regain composure. 2. Call Security to investigate the matter. 3. Quietly leave the room and knock on the door. 4. Notify the RN supervisor and physician.
Many patients with hyperlipidemia are treated with more than one drug. Combining a fibric acid derivative such as gemfibrozil with which of the following is not recommended? The drug and the reason must both be correct for the answer to be correct
1. Reductase inhibitors, due to an increased risk for rhabdomyolysis 2. Bile-acid sequestering resins, due to interference with folic acid absorption 3. Grapefruit juice, due to interference with metabolism 4. Niacin, due to decreased gemfibrozil activity
A patient has delivered a stillborn infant at 28 weeks' gestation. Which nursing action is appropriate?
1. Discuss funeral options for the baby. 2. Encourage the couple to try to get pregnant again soon. 3. Ask the couple whether or not they would like to hold the baby. 4. Advise the couple that the baby's death was probably for the best.
For which client receiving an inhalation anesthesia should the nurse be most concerned?
A. A 15-year-old with diabetes mellitus B. A 6-year-old with no chronic health problems C. A 79-year-old with arteriosclerosis D. A 55-year-old with a serious neck injury