Author Question: A patient has an elevated total serum cholesterol of 260 mg/dL. Which of the following aspects of ... (Read 78 times)

Davideckstein7 · **on:** Jul 23, 2018

A patient has an elevated total serum cholesterol of 260 mg/dL. Which of the following aspects of patient teaching of lifestyle changes is most important for the patient?

A) Eat organic foods.
B) Stop smoking.
C) Increase rest periods.
D) Drink whole milk.

Question 2

Significant pharmacodynamic variations exist between adult patients and pediatric patients.

Which of the following factors are known to contribute to differences in the ways that drugs affect target cells in children and infants? Select all that apply. A) Inability of children to accurately describe adverse effects
B) Immaturity of children's organ systems
C) Differences in the body composition of children
D) The lack of active immunity in children
E) Differences in the function of humoral immunity in children

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

Answer to Question 1

B
Feedback:
Therapeutic lifestyle changes to lower serum cholesterol, including exercise, smoking cessation, change in diet, and drug therapy, are recommended to lower serum cholesterol. The patient with an elevated serum cholesterol should increase exercise and not increase rest periods. The patient should consume low-fat dairy products and avoid whole milk. Organic foods are not specifically recommended.

Answer to Question 2

B, C
Feedback:
Immature organ systems and changing body compositions mean that drugs affect children differently. Causes of pharmacodynamic variability across the lifespan include differences in body composition, immature systems, and genetic makeup. Total body water, fat stores, and protein amounts change throughout childhood and greatly influence the effectiveness of drugs in the pediatric population. Children are indeed less able to describe adverse effects, but this is not a pharmacodynamics variation. Differences in the function of the immune system are not noted to significantly influence pharmacodynamics.