Author Question: When planning patient care the nurse recognizes what patient is at greatest risk of developing ... (Read 1767 times)

nelaaney · **on:** Jul 23, 2018

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

Question 2

While bathing the noncommunicative patient, the nurse notices the patient is swallowing repeatedly. What should the nurse do in response?

A) Offer the patient a drink
B) Put the patient in a supine position
C) Ready the emesis basin
D) Continue the bath

tsternbergh47 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
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.

Answer to Question 2

C
Feedback:
Nauseated patients who start swallowing repeatedly or complain about secretions in their throat are in the process of preparing for vomiting. The nurse should reach for the emesis basin. Offering water will increase vomiting. Placing the patient in a supine position risks the danger of aspiration of stomach contents into the lungs. Continuing the bath does not prepare the nurse if the patient begins to vomit.