Author Question: In which of the following hospital patients would the care team most realistically anticipate ... (Read 110 times)

notis · **on:** Jun 25, 2018

In which of the following hospital patients would the care team most realistically anticipate finding normal cholesterol levels?

A)
A 44-year-old male admitted for hyperglycemia and with a history of diabetic neuropathy
B)
A 77-year-old female admitted for rheumatoid arthritis exacerbation who is receiving hormone replacement therapy and with a history of hypothyroidism
C)
A 51-year-old male with a diagnosis of hemorrhagic stroke and consequent unilateral weakness
D)
A morbidly obese 50-year-old female who is taking diuretics and a beta-blocker to treat her hypertension

Question 2

A group of novice nursing students are learning how to manually measure a client's blood pressure using a stethoscope and sphygmomanometer. Which of the following statements by students would the instructor most likely need to correct?

A)
I'll inflate the cuff around 30 mm Hg above the point at which I can't palpate the client's pulse.
B)
If my client's arm is too big for the cuff, I'm going to get a BP reading that's artificially low.
C)
The accuracy of the whole process depends on my ability to clearly hear the Korotkoff sounds with the bell of my stethoscope.
D)
With practice, my measurement of clients' blood pressures with this method will be more accurate than with automated machines.

Ahernandez18 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

Hemorrhagic stroke is not a pathology noted to be associated with secondary hypercholesterolemi a. Diabetes, thyroid medications, estrogen therapy, obesity, and beta-blocker medications are all correlated with hypercholesterolemi a.

Answer to Question 2

Ans:
B

Feedback:

Undercuffing yields a blood pressure reading that is overestimated. The cuff should indeed be inflated to 30 mm Hg above palpated systolic pressure and is both dependent on clear auscultation of the Korotkoff sounds. The properly performed manual method is more accurate than automated measurement.