The nurse is doing health promotion and interviews a patient with a history of hypertension, who is currently smoking 1 pack of cigarettes per day
She has had no manifestations of coronary artery disease, but did have a recent LDL level of 154 mg/dL. Based on her assessment, the nurse would expect that the physician would treat this cholesterol level in which of the following ways?
A) Drug therapy
B) Diet and drug therapy
C) Diet therapy only
D) Cessation of cigarettes and diet therapy
Ans: D
Feedback: Diet therapy is indicated for a patient without CAD who has two or more risk factors (hypertension and cigarette smoking) and an LDL level equal to or greater than 130 mg/dL. When the patient's LDL levels are equal to or greater than 160 mg/dL, drug therapy would be added to diet therapy. Cigarette smoking contributes to the development and severity of CAD and is listed as a major risk factor.
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