Nokea
The nurse is discussing the pathophysiology of atherosclerosis with a client who has a normal high-density lipoprotein (HDL) level. Which information should the nurse discuss with the client concerning HDLs?
- A. A normal HDL is good because it has a protective action in the body.
- B. The HDL level measures the free fatty acids and glycerol in the blood.
- C. HDLs are the primary transporters of cholesterol into the cell.
- D. The client needs to decrease the amount of cholesterol and fat in the diet.
Correct Answer: A
Rationale: Normal HDL (A) is protective, removing cholesterol from arteries. HDL doesn’t measure fatty acids (B) or transport cholesterol into cells (C), and diet (D) is unrelated to normal HDL.
You may also like to solve these questions
Which assessment finding indicates a worsening condition in a client with valvular heart disease? Select all that apply.
- A. Shortness of breath at rest
- B. Weight gain of 4 pounds in 3 days
- C. Fatigue with minimal activity
- D. Blood pressure of 130/80 mmHg
- E. Bilateral crackles in lungs
- F. Heart rate of 80 beats per minute
Correct Answer: A,B,C,E
Rationale: Shortness of breath, weight gain, fatigue, and crackles indicate worsening heart failure due to valvular dysfunction.
The intensive care department nurse is calculating the total intake for a client diagnosed with hypertensive crisis. The client has received 880 mL of D5W, IVPB of 100 mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480 mL. What is the total intake for this client?
Correct Answer: 1180
Rationale: Total intake = IV fluids (880 mL D5W + 100 mL NS) + oral fluids (8 oz water + 4 oz milk + 6 oz broth). 1 oz = 30 mL, so oral = (8+4+6) × 30 = 540 mL. Total = 880 + 100 + 540 = 1,180 mL. Output (1,480 mL) is not included in intake.
Which complication of uncontrolled hypertension should the nurse include in client teaching? Select all that apply.
- A. Stroke
- B. Kidney failure
- C. Heart attack
- D. Liver cirrhosis
- E. Vision loss
- F. Peripheral neuropathy
Correct Answer: A,B,C,E
Rationale: Uncontrolled hypertension can damage blood vessels, leading to stroke, kidney failure, heart attack, and vision loss.
Which complication of anticoagulant therapy should the nurse teach the client to report to the health-care provider?
- A. Gastric upset.
- B. Bleeding from any site.
- C. Constipation.
- D. Myocardial infarction.
Correct Answer: B
Rationale: Bleeding (B) is a serious anticoagulant complication, requiring HCP notification. Gastric upset (A) and constipation (C) are minor, and MI (D) is unrelated.
Which complication should the nurse monitor for in a client with cardiomyopathy?
- A. Heart failure
- B. Hypoglycemia
- C. Osteoporosis
- D. Gastritis
Correct Answer: A
Rationale: Cardiomyopathy impairs heart function, increasing the risk of heart failure.