Author Question: A client's total cholesterol level is 344 mg/dL, low-density lipoprotein cholesterol (LDL-C) level ... (Read 116 times)

kshipps · **on:** Jul 22, 2018

A client's total cholesterol level is 344 mg/dL, low-density lipoprotein cholesterol (LDL-C) level is 164 mg/dL, and high-density lipoprotein cholesterol (HDL-C) level is 30 mg/dL.

Based on analysis of the data, how should the nurse direct client teaching? 1. The client should maintain the current dietary regimen but increase activity levels.
2. Results are inconclusive unless the triglyceride level is also screened, so teaching is not indicated at this time.
3. The client is at high risk for cardiovascular disease, and measures to modify all identified risk factors should be taught.
4. The client is at low risk for cardiovascular disease, so the client should be encouraged to continue to follow the current regimen.

Question 2

A client with angina complains that the anginal pain is prolonged, severe, and occurs at the same time each day, most often in the morning. On further assessment, a nurse notes that the pain occurs in the absence of precipitating factors.

How would the nurse best describe this type of anginal pain? 1. Stable angina
2. Unstable angina
3. Variant angina
4. Nonanginal pain

alexisweber49 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: In the absence of documented cardiovascular disease, the desired goal is to have the total cholesterol level lower than 200 mg/dL. A desired LDL-C level for all individuals is lower than 100 mg/dL, and a desirable HDL-C level is higher than 40 mg/dL. Because the client's levels are outside the range for all three values to a significant degree, the client is at high risk for developing cardiovascular disease and requires teaching on risk factor reduction.

Answer to Question 2

3

Rationale: Stable angina is induced by exercise and relieved by rest or nitroglycerin tablets. Unstable angina occurs at lower levels of activity than those that previously precipitated the angina. Unstable angina also occurs at rest; is less predictable; and is often a precursor of myocardial infarction. Variant angina, or Prinzmetal's angina, is prolonged and severe and occurs at the same time each day, usually in the morning.