NCLEX-RN
Cardiovascular Pharmacology NCLEX RN Questions
Extract:
The clinic nurse is caring for a 38-year-old male
Item 6 of 6
Physician Progress Notes
1355 - One-week follow-up appointment with a 38-year-old male. Labs show serious metabolic derangements, including high fasting blood glucose and hyperlipidemia. VS shows essential hypertension. Diagnosis - 1. essential hypertension 2. metabolic syndrome. Will perform additional diagnostics and follow up with the client in six weeks.
Physician Orders
• 12-lead electrocardiogram (ECG)
• atenolol 25 mg by mouth daily
• pitavastatin 1 mg by mouth daily
• fenofibrate 45 mg by mouth daily with food
Question 1 of 5
The nurse performs education regarding metabolic syndrome and reminds the client to return in six weeks for a follow-up appointment. Click to specify the self-management goals for this client. Note: Each row must have one (1) response option selected
| Goal | Appropriate | Not Appropriate |
|---|---|---|
| Reduction in the HDL cholesterol | ||
| Moderate exercise at least 150 minutes a week | ||
| Reduce the consumption of complex carbohydrates | ||
| Increase the intake of fiber-containing foods | ||
| Reduction in psychosocial stressors |
Correct Answer: B,D,E
Rationale: Moderate exercise (150 minutes/week), increased fiber intake, and stress reduction are appropriate goals for managing metabolic syndrome. Reducing HDL is undesirable, and complex carbohydrates should not be broadly reduced.
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