Author Question: Mr. B, age 72, has a history of heart disease. He insists that his high-fat diet is permissible, ... (Read 24 times)

rayancarla1 · **on:** Jul 11, 2018

Mr. B, age 72, has a history of heart disease. He insists that his high-fat diet is permissible, however, because he takes a daily supplement of gugulipid, an herb purported to reduce blood cholesterol levels.

In talking with the patient, what should Mr. B's nurse do first? A) Suggest that Mr. B ask his doctor for a prescription medication to reduce cholesterol levels
B) Review with Mr. B the benefits associated with limiting dietary fat
C) Introduce Mr. B to the additional benefits associated with fish oil supplements
D) Advise Mr. B to stop using gugulipid, as herbal supplements are not regulated by the FDA

Question 2

The nurse is admitting an older patient to the care area. What is the first step the nurse should take when evaluating the patient's circulation in the extremities?

A) Health history and then inspect the legs
B) Exercise history for periods of immobility
C) Identify medications for side effects of hypotension
D) Vital signs to verify that blood pressure is within an acceptable range

yotaSR5 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
The first duty of Mr. B's nurse is to promote positive health behaviors, which means encouraging the patient to limit his fat intake. Herbal supplements are unregulated, and their health benefits may be questionable. Whether fish oil supplements or prescription medications are advisable in this case merits further investigation.

Answer to Question 2

A
Feedback:
Assessing for circulation to the lower extremities should begin with a health history and then focus on inspection of the lower extremities. Exercise history, medications, and vital signs may or may not provide adequate information about the patient's extremity circulation.