According to the Office of Minority Health Report (2007), which ...

[big1devin]

According to the Office of Minority Health Report (2007), which preventive measure is a health disparity for African Americans?
 
  a. Lack of effective treatment for hypertension
  b. Care to maintain skin and tissue integrity
  c. Teaching about the diabetic diet and exercise
  d. Anticoagulation after a transient ischemic attack

Question 2

The nurse is caring for a patient diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)
 
  a. Atrial fibrillation c. Constipation
  b. Heart failure d. Heat intolerance

[tkempin]

Answer to Question 1

D

Feedback
A Incorrect. The report states that African Americans are 1.5 times more likely than Caucasians to have hypertension; however, effective treatment does exist.
B Incorrect. The report states that African Americans are 30 more likely than Caucasians to have an amputation due to diabetes mellitus but does not state if this is due to failing to care for the skin.
C Incorrect. There is potentially a lack of effective teaching on diet and exercise for African Americans; however, the data released do not reflect this.
D Correct. African Americans are unlikely to receive anticoagulation following a transient ischemic attack (TIA). This is important because TIAs are highly pre-dictive of serious strokes, and anticoagulation therapy is necessary to reduce the risk.

Answer to Question 2

A, B, C
Compared with hypothyroidism, the onset of hyperthyroidism may be quite sudden. The signs and symptoms in the older adult include unexplained atrial fibrillation, heart failure, constipation, anorexia, muscle weakness, and other vague complaints. Symptoms of heart failure or angina may cloud the clinical presentation and prevent the correct diagnosis. The person may be mis-diagnosed as being depressed or having dementia. On examination, the person is likely to have tachycardia, tremors, and weight loss. Heat intolerance is attributed to hyperthyroidism.

[big1devin]

Excellent

[ricroger]

TYSM