The nurse is evaluating the effectiveness of an older patient's ...

[waynest]

The nurse is evaluating the effectiveness of an older patient's self-management of asthm
 
  a. What does the nurse assess as the priority? (Select all that apply.)
  a. How many times a week a rescue inhaler treatment is needed
  b. How well the patient is able to avoid the known triggers
  c. Whether the patient experience frequent respiratory infections
  d. Whether the patient requires rest periods during the day
  e. Whether the patient believes he or she has the support of family and friends

Question 2

The nurse is assessing an older patient with elevated plasma triglyceride levels. What other assessment finding leads the nurse to suspect metabolic syndrome? (Select all that apply.)
 
  a. Blood pressure of 148/90 mm Hg
  b. A fasting blood glucose of 109 mg/dL
  c. Reports of frequent urination
  d. Weight measurement of 50 inches
  e. HDL level of 52 mg/dL

[wfdfwc23]

Answer to Question 1

A, B
The evaluation of self-management is based on the patient's success in following through with the plan. Determine the frequency of rescue inhaler use, success at avoiding triggers, and the pa-tient's ability to monitor and address lifestyle changes.

Answer to Question 2

A, B, D, E
The clinical criteria for metabolic syndrome includes increased waist circumference (population specific) plus any two of the following: (1) blood pressure greater than 129/84 mm Hg or taking hypertension medication, (2) plasma triglyceride levels over 149 mg/dL or taking triglyceride medication, (3) high-density lipid levels less than 40 mg/dL in men or less than 50 mg/dL in women or taking HDL-C medication, (4) fasting glucose greater than 99 mg/dL (including pa-tients with diabetes).