Which plasma lipoprotein level is most concerning when considering the risk of coronary atherosclerosis?
a. Elevated cholesterol
b. Elevated high-density lipoprotein
c. Elevated low-density lipoprotein
d. Elevated very-low-density lipoprotein
C
Elevated LDL levels make the greatest contribution to coronary atherosclerosis with the proba-bility of developing coronary heart disease (CHD) directly related to the LDL level in the blood. Total cholesterol levels do not have the same direct link. HDL levels cause increased risk when they are low. The relation between elevated very-low-density lipoprotein levels and CHD is not clear.
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Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which of the following is an ethical implication of these advances?
1. The nurse must be aware of parent feelings regarding the information available to them. 2. The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed. 3. The parents must be aware of the nurse's feelings regarding the information available about the fetus. 4. The nurse must participate in actions that are completely contradictory to his personal ethics.
A client with edema is receiving a loop diuretic. The client is also receiving acetaminophen for mild pain. The nurse would assess the client for which of the following?
A) Increasing edema B) Bone pain C) Gastric upset D) Diarrhea
A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse
a. questions a medication order written by the physician. b. takes the time to listen to a patient's fears about surgery. c. needs to seek approval from charge nurse to give a PRN medication. d. feels guilty for expecting to be paid well for work.
As drugs near the end of their patent, pharmaceutical companies may apply for the drug to change to over-the-counter status in order to:
1. Get a new patent for the over-the-counter form of the drug 2. Lower the costs because most prescription benefit plans do not cover generics 3. Market the drug to a whole new population, as they are able to market to patients instead of just providers 4. Continue to make large profits from their blockbuster brand-name drug