Author Question: The patient history plays an important role in assessing the patient's nutritional status. ... (Read 37 times)

MirandaLo · **on:** Jun 25, 2018

The patient history plays an important role in assessing the patient's nutritional status. Significant laboratory and clinical findings in the patient with cardiovascular disease include

a. low levels of high-density lipoprotein (HDL) cholesterol and transferrin.
b. elevated low-density lipoprotein (LDL) cholesterol and decreased subcutaneous fat.
c. elevated sodium levels and a soft, fatty liver on palpation.
d. normal triglyceride levels and the presence of S3 on auscultation.

Question 2

A patient with mild obstructive sleep apnea (OSA) can expect treatment to consist of

a. medical management with protriptyline.
b. weight loss, elimination of alcohol before bedtime, and side sleeping.
c. immediate use of continuous positive airway pressure (CPAP).
d. surgical intervention with uvulopalatopharyngo plasty (UPPP).

srodz · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Laboratory and clinical findings in patients with cardiovascular disease include elevated total cholesterol and triglycerides as well as cardiac cachexia (muscle and subcutaneous fat wasting).

Answer to Question 2

B
For patients with mild OSA (apneahypopnea index of 5 to 10), weight loss, sleeping on the side (if apnea is associated with sleeping on the back), avoidance of sedative medications and alcohol before bedtime, and avoidance of sleep deprivation may be all that is necessary. CPAP would be the next treatment choice.