The nurse is concerned that a client is developing metabolic ...

[swpotter12]

The nurse is concerned that a client is developing metabolic syndrome. Which of the following did the nurse assess in this client? (Select all that apply.)
 
  1. Elevated high-density lipoprotein level
  2. Blood pressure 150/88 mmHg during three different assessments
  3. Fasting glucose 120 mg/dL
  4. Poor appetite
  5. Abdominal obesity
  6. Elevated triglyceride level

Question 2

A client begins rapid breathing and demonstrates anxiety after learning of a diagnosis of breast cancer. After a short while, the client complains of tingling lips and fingers. Which of the following should the nurse do to assist this client?
 
  1. Provide oxygen.
  2. Coach the client in the use of an incentive spirometer.
  3. Help the client slow the respiratory rate or breathe into a paper bag.
  4. Administer intravenous fluids.

[TDubDCFL]

Answer to Question 1

2, 3, 5, 6
Metabolic syndrome is diagnosed when three or more of the following factors are present: high blood pressure, abdominal obesity, high triglyceride levels, low high-density lipoprotein cholesterol, and high fasting blood glucose levels. The assessment findings that would support the client's developing metabolic syndrome are elevated blood pressure, fasting glucose of 120 mg/dL, and abdominal obesity. Poor appetite is not a factor for the development of metabolic syndrome. Elevated high-density lipoprotein level is not a factor for the development of metabolic syndrome.

Answer to Question 2

3
With the client's rapid respirations, too much carbon dioxide is being excreted. This leads to alkalosis. Symptoms of respiratory alkalosis include tingling of the lips and fingers. If the client is unable to control the respiratory rate, the nurse may have the client breathe into a paper bag, which forces the rebreathing of carbon dioxide. Providing oxygen, using an incentive spirometer, and intravenous fluids is not going to help correct the client's rapid respiratory rate and respiratory alkalosis.