Aug.09 -NCLEX Daily Practice Questions

August 09, 2024

Friday

 

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The nurse is conducting a health-screening clinic at an industrial work site. The nurse should be most concerned about which client's risk for metabolic syndrome?

27-year-old woman with triglycerides of 210 mg/dL (2.4 mmol/L), blood pressure of 128/82 mm Hg, and fasting blood glucose of 98 mg/dL (5.4 mmol/L)

45-year-old man with waist circumference of 38 inches (96.5 cm), high-density lipoprotein of 49 mg/dL (1.3 mmol/L), and fasting blood glucose of 118 mg/dL (6.6 mmol/L)

55-year-old woman with waist circumference of 37 inches (94 cm), triglycerides of 190 mg/dL (2.2 mmol/L), and fasting blood glucose of 120 mg/dL (6.7 mmol/L)

82-year-old man with high-density lipoprotein of 45 mg/dL (1.2 mmol/L), blood pressure of 148/88 mm Hg, and fasting blood glucose of 104 mg/dL (5.8 mmol/L)

Metabolic syndrome is the presence of >= 3 metabolic health factors that increase a client's risk for stroke, diabetes mellitus, and cardiovascular disease.

Criteria include:

1. Abdominal obesity: Waist circumference (240 inches [102 cm) in men, >= 35 | inches [89 cm] in women)
2. High serum triglycerides > 150mg / d * L 1.7 mmol/L) or hypertriglyceridemia drug treatment
3. Low levels of high-density lipoprotein (HDL) cholesterol (< 40mg / d * L | 1.0 mmol/L] in men, < 50mg / d * L [1.3 mmol] in women)
4. Hypertension >= 130/85 mm Hg or hypertension drug treatment
5. Fasting blood glucose >= 100mg / d * L 5.6 mmol/L) or hyperglycemia drug treatment

The 55-year-old woman (waist circumference 37 inches [94 cm), triglycerides 190 mg/dL [2.2 mmol/L], fasting blood glucose 120 mg/dL [6.7 mmol/L]) is at highest risk for metabolic syndrome with 3 of 5 criteria (obesity, high triglycerides, hyperglycemia) (Option 3).

(Option 1) The 27-year-old woman (triglycerides 210 mg/dL [2.4 mmol/L]) has only 1 metabolic syndrome-associated condition (hypertriglyceridemia). (Option 2) The 45-year-old man (fasting blood glucose 118 mg/dL [6.6 mmol/L]) has only 1 metabolic syndrome-associated condition (hyperglycemia).

(Option 4) The 82-year-old man (blood pressure 148/88 mm Hg, fasting blood glucose 104 mg/dL [5.8 mmol/L]) has only 2 metabolic syndrome-associated conditions (hypertension, hyperglycemia). His HDL is within normal limits.

Educational objective: Clients with metabolic syndrome are at increased risk for stroke, diabetes mellitus, and cardiovascular disease. Criteria for metabolic syndrome include at least 3 of 5 conditions: abdominal obesity, hyperglycemia, low levels of high-density lipoprotein, high serum triglycerides, and hypertension.

Metabolic syndrome is the presence of >= 3 metabolic health factors that increase a client's risk for stroke, diabetes mellitus, and cardiovascular disease.

Criteria include:

1. Abdominal obesity: Waist circumference (240 inches [102 cm) in men, >= 35 | inches [89 cm] in women)
2. High serum triglycerides > 150mg / d * L 1.7 mmol/L) or hypertriglyceridemia drug treatment
3. Low levels of high-density lipoprotein (HDL) cholesterol (< 40mg / d * L | 1.0 mmol/L] in men, < 50mg / d * L [1.3 mmol] in women)
4. Hypertension >= 130/85 mm Hg or hypertension drug treatment
5. Fasting blood glucose >= 100mg / d * L 5.6 mmol/L) or hyperglycemia drug treatment

The 55-year-old woman (waist circumference 37 inches [94 cm), triglycerides 190 mg/dL [2.2 mmol/L], fasting blood glucose 120 mg/dL [6.7 mmol/L]) is at highest risk for metabolic syndrome with 3 of 5 criteria (obesity, high triglycerides, hyperglycemia) (Option 3).

(Option 1) The 27-year-old woman (triglycerides 210 mg/dL [2.4 mmol/L]) has only 1 metabolic syndrome-associated condition (hypertriglyceridemia). (Option 2) The 45-year-old man (fasting blood glucose 118 mg/dL [6.6 mmol/L]) has only 1 metabolic syndrome-associated condition (hyperglycemia).

(Option 4) The 82-year-old man (blood pressure 148/88 mm Hg, fasting blood glucose 104 mg/dL [5.8 mmol/L]) has only 2 metabolic syndrome-associated conditions (hypertension, hyperglycemia). His HDL is within normal limits.

Educational objective: Clients with metabolic syndrome are at increased risk for stroke, diabetes mellitus, and cardiovascular disease. Criteria for metabolic syndrome include at least 3 of 5 conditions: abdominal obesity, hyperglycemia, low levels of high-density lipoprotein, high serum triglycerides, and hypertension.

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