When planning patient care the nurse recognizes what patient is at greatest risk of developing coronary artery disease?
A) A 32-year-old Asian American with total cholesterol of 120 mg/dL
B) A 62-year-old white American with total cholesterol of 260 mg/dL
C) A 48-year-old African American with total cholesterol of 198 mg/dL
D) A 26-year-old Native American with total cholesterol of 150 mg/dL
B
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White Americans have the highest incidence of coronary artery disease (CAD). This patient has total cholesterol of 260 mg/dL, which is considered high according to the Third Report of the National Cholesterol Education Program Expert Panel. The other three patients could be at risk due to cultural risk factors such as hypertension, diabetes, high (HDL) and low density lipoprotein (LDL) levels, and HDL level to cholesterol ratio. However, their total cholesterol levels fall within normal or desirable range.
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The nurse assesses the client's fundus six hours after birth and shortly after the client voided 400 mL, and finds the fundus to be midline at the umbilicus and boggy. The nurse interprets this as an indication of:
1. A normal involution. 2. Retained urine. 3. Uterine bleeding. 4. Uterine trauma.
A community health nurse is providing immunizations to schoolchildren at a local health department. At which age would the nurse expect to administer the first dose of human papillomavirus (HPV) vaccine?
A) 9 B) 11 C) 13 D) 15
Which issue is of concern to nursing?
1. The grand theories of nursing often do not take environment into consideration. 2. The level of theory that drives much research in nursing is generally from other disciplines. 3. The majority of nursing research is guided by grand theories. 4. There are no middle-range nursing theories.
A 20-year-old man has presented to the emergency department with a 24-hour history of abdominal pain. The nurse who is admitting the patient notes that he is diaphoretic, wincing, and guarding the lower right quadrant of his abdomen
The nurse asks the patient to rate his pain on a scale of 1 to 10, to which the patient responds, "One or two." How should the nurse best respond to this patient's statement? A) Administer ibuprofen or acetaminophen rather than an opioid. B) Reassess the patient's pain in 30 to 45 minutes. C) Explain the 0-to-10 pain scale in greater detail. D) Document the fact that the patient has slight pain.