The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what?
A) Lipids and fibrous tissue
B) White blood cells
C) Lipoproteins
D) High-density cholesterol
Ans: A
Feedback:
As T-lymphocytes and monocytes infiltrate to ingest lipids on the arterial wall and then die, a fibrous tissue develops. This causes plaques to form on the inner lumen of arterial walls. These plaques do not consist of white cells, lipoproteins, or high-density cholesterol.
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A patient diagnosed with MS has been admitted to the medical unit for treatment of an MS exacerbation. Included in the admission orders is baclofen (Lioresal). What should the nurse identify as an expected outcome of this treatment?
A) Reduction in the appearance of new lesions on the MRI B) Decreased muscle spasms in the lower extremities C) Increased muscle strength in the upper extremities D) Decreased severity and duration of exacerbations
The nurse is instructing a pregnant teenager during her first prenatal visit about the adverse effects of cigarette smoking during pregnancy. What information should be included?
a. "Smoking during pregnancy increases the likelihood that you will have difficulty during labor." b. "Infants born to smokers are on average the same size as those born to nonsmokers." c. "If you stop smoking early in your pregnancy, your baby will be unaffected." d. "Smoking puts your baby at risk of developing congenital abnormalities."
When a client has undergone a carotid endarterectomy and has been returned to the nursing unit with stable vital signs, the nurse should
a. assess neurologic status every 4 hours. b. keep the client in a flat, supine position with the head flexed. c. maintain blood pressure within 20 mm Hg of the preoperative values. d. provide neck range-of-motion exercises every 8 hours.
An elderly female client was receiving home care after hospitalization for a cerebrovascular accident. After several weeks of physical and speech therapy, the client showed few signs of progress
The utilization review committee considered the client's condition to be stable and declined reimbursement for further home care. This client may reverse the decision through a process called: 1. Development of explicit criteria 2. Appeal mechanism 3. Concurrent utilization review 4. Medicare reversal process