The nurse is caring for a female client with cholelithiasis. Which assessment findings from the client's history and physical examination may have contributed to development of the condition? (Select all that apply.)
a. Body mass index (BMI) of 46
b. Vegetarian diet
c. Drinking 4 ounces of red wine nightly
d. Pregnant with twins
e. History of metabolic syndrome
f. Glycosylated hemoglobin level of 15%
A, D, F
Obesity, pregnancy, and diabetes are all risk factors for the development of cholelithiasis. Mod-erate alcohol intake and a diet low in saturated fats may decrease the risk. Metabolic syndrome is a precursor to diabetes, and the client should be informed of the connection.
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A patient admitted with angina who is scheduled for a cardiac catheterization asks the nurse about the reason for this test. The nurse informs the patient that a cardiac catheterization is ordered most commonly to:
A) Assess coronary artery patency B) Detect myocardial ischemia C) Evaluate cardiovascular response to stress D) Evaluate cardiac electrical activity
A client asks if he could use an over-the-counter bulk-type laxative. Which assessment finding would cause the nurse to tell the client not to use this drug? Select all that apply.
1. The client is over age 60.
2. The client takes warfarin every other day.
3. The client has type 2 diabetes.
4. The client has a history of fecal impaction.
5. The client is allergic to penicillin.
Identify the primary effect produced by the beta-2 receptors when they are stimulated by epinephrine.
A. Vasodilation of coronary arteries B. Vasodilation of skeletal muscle blood vessels C. Bronchodilation of the bronchiolar smooth muscle D. All of these are correct.