Nokea
The nurse prepares a teaching plan for an adult client with metabolic syndrome. Which finding(s) should the nurse address to help the client reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)
- A. Abdominal obesity.
- B. Blood pressure of 150/96 mm Hg.
- C. Elevated high density lipoproteins.
- D. Increased triglyceride levels.
- E. Hyperglycemia.
- F. Hypothyroidism.
Correct Answer: A,B,D,E
Rationale: Abdominal obesity, elevated blood pressure, increased triglyceride levels, and hyperglycemia are components of metabolic syndrome that increase the risk of diabetes and vascular disease, requiring intervention.
You may also like to solve these questions
A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?
- A. Sleep with the head of the bed flat.
- B. Take sedatives prior to sleep.
- C. Begin a weight loss program.
- D. Drink 1 to 2 glasses of wine at bedtime.
Correct Answer: C
Rationale: Beginning a weight loss program can reduce OSA by decreasing fat deposits around the neck and chest, which compress the airway, improving breathing during sleep.
A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
- A. Headache rated at 0 on 0 to 10 scale.
- B. Oxygen saturation level of 99%.
- C. Ambulates easily without vertigo.
- D. Blood pressure of 120/80 mm Hg.
Correct Answer: C
Rationale: Ambulating easily without vertigo indicates the antihistamine is effective, as it reduces fluid buildup in the inner ear, relieving vertigo, a common symptom of Ménière's disease.
The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action regarding skin care indicates a need for further teaching?
- A. Applies prescribed lotions to the radiation site.
- B. Washes the radiation site with antibacterial soap and water.
- C. Wears clothing to cover the radiation site.
- D. Dries the area with patting motions after taking a shower.
Correct Answer: B
Rationale: Washing the radiation site with antibacterial soap and water can cause dryness, inflammation, and infection, indicating a need for further teaching on using mild soap or saline.
A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?
- A. Prepare for an abdominal catheter.
- B. Continue routine medications.
- C. Expect the insulin dosage to be reduced.
- D. Include potassium-rich foods in the diet.
Correct Answer: C
Rationale: Insulin dosage may need to be reduced during hemodialysis because insulin is removed by the dialyzer and blood glucose levels may drop. This is the correct statement to include in client education.
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA), which information should the nurse include in the discharge instructions?
- A. Use incentive spirometer.
- B. Monitor urinary stream for decrease in output.
- C. Report when hematuria becomes pink tinged.
- D. Restrict physical activities.
Correct Answer: B
Rationale: Monitoring urinary stream for decrease in output is critical to detect urinary retention or obstruction, potential complications of TUNA.