A healthy-appearing 68-year-old woman is in the clinic for a physical exam. Her laboratory work shows decreased levels of high-density lipoprotein (HDL) cholesterol and increased levels of low-density lipoprotein (LDL) cholesterol. What conclusion can the
A.
Eats an unhealthy diet
B.
At risk for long-bone fractures
C.
Increased cardiovascular risk
D.
Probably does not exercise
ANS: C
Decreased estrogen in a woman's later years accompanied by low HDL and high LDL cholesterol levels increases the risk of cardiovascular disease. The nurse cannot conclude anything about the patient's exercise or eating habits without further assessment. Older women are at risk of fractures due to osteoporosis, but that is not related to these laboratory values.
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A transfusion using blood from one's own blood is a(n) ___________ transfusion, which is the best defense against a transfusion reaction
ANS:
A guiding principle for the nurse to remember when suspecting depression in children and adolescents is:
A) Depression in these patients is much less severe than in adults B) Look for a change in the patient's behavior and the degree to which the behavior is exhibited C) Suicidal ideation is less common in children than in adults D) Symptoms of depression in these patients are quite different from those in adults
A patient has been prescribed nifedipine (Adalat CC) as treatment for hypertension. The nurse would evaluate medication instruction as effective if the patient makes which statements?
1. "If I drink alcohol while taking this medication, I will get very sick to my stomach." 2. "I should stop taking my melatonin sleep medication." 3. "I should no longer drink grapefruit juice." 4. "I should no longer drink sports drinks with caffeine in them." 5. "I should stop taking my vitamin C supplement."
A female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following?
A) The amount of tea or soft drinks she has during the day B) The amount of grapefruit or orange juice she has during the day C) The number of cups of coffee she has during the day D) The amount of water she drinks every day