The patient has a total cholesterol of 190 with a high-density lipid (HDL) of 110 and a low-density lipid (LDL) of 80. The nurse's reaction is one of:
a. satisfaction. This is good cholesterol control.
b. determination. This is evidence that more instruction is necessary.
c. inquiry. This needs to clarified as to the cause of noncompliance with the drug protocol.
d. regret. This shows very poor cholesterol control.
ANS: A
Total cholesterol of less than 200 is desirable. The higher the number of HDLs the better. A high number of LDLs puts the patient at risk for heart disease.
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A nurse is to administer a drug ordered in milligrams. The pharmacy has dispensed the drug in grams. Using the ratio method of drug calculation, the drug dosage obtained seems to be unreasonable
After rechecking the calculations, what should the nurse do next? a. Ask the client the size of the drug usually offered. b. Call the pharmacist for assistance. c. Withhold the drug and notify the client's health care provider. d. Have a colleague check the calculations.
A patient is admitted to the ED with an apparent overdose of IV heroin. After stabilizing the patient's cardiopulmonary status, the nurse should prepare to perform what intervention?
A) Administer a bolus of lactated Ringer's. B) Administer naloxone hydrochloride (Narcan). C) Insert an indwelling urinary catheter. D) Perform a focused neurologic assessment.
A nurse is implementing the Community Health Promotion Model. Which of the following un-derlying principles should the nurse use in order to facilitate active participation?
a. Individuals should work in groups to complete necessary tasks. b. Individuals participating should represent all segments of the population. c. People will work together if they like the leadership. d. People will participate when they see the issues as worthy of their time.
It would be most challenging to design a diet for chronic renal failure for
a. a patient with elevated levels of serum low-density lipoprotein (LDL) cholesterol. b. a patient with hypertension. c. someone who follows a vegan eating pattern. d. someone who adheres to strict kosher food laws.