Module 1 Homework 1 Clayton and Willihnganz Pharmacology Ch 20 and 21 EAQ HW (NG)

Module 1 Homework 1 Clayton and Willihnganz Pharmacology Ch 20 and 21 EAQ HW (NG) Due Sep 6, 2021 by 11:59 pm 48 out of 50 questions answered correctly Incorrect (2) Calculate the body mass index (BMI) of a patient whose height and weight are 66 inches (167.7 cm) and 125 pounds (56.7 kg) respectively. Rationale Calculate the body mass index by dividing the patient’s weight in pounds by his or her height in inches squared and multiplying the result by a conversion factor of 703. Squaring the height of 66 inches (167.7 cm) yields a value of 4356. Dividing the weight of 125 pounds (56.7 kg) by the squared height and then multiplying by 703 gives a body mass index of 20. p. 323 Which activities are important to aid in improving cardiovascular function? Select all that apply. Increasing physical activity Decreasing high-density lipoprotein (HDL) levels Maintaining daily maximum caloric levels based on height, weight, and gender Maintaining body weight in adults within a body mass index (BMI) range of 18 to 25 kg/m 2 Reducing job-related stress Rationale Physical activity improves circulation, increases HDL levels, and burns calories. Daily maximum caloric intake of food should be based on height, weight, and gender for four different levels of physical activity: sedentary, low active, active, and very active. A BMI range of 18 to 25 kg/m 2 is considered to be a healthy BMI for adults. A study demonstrated that patients with job-related stress had a twofold increase in their risk of recurrent unstable angina and myocardial infarction. Reducing stress can reduce this risk, thereby improving cardiovascular function. To improve cardiovascular function, HDL levels should increase, not decrease. p. 323 Correct (48) Which drug categories are used as preferred antihypertensive treatments in patients with metabolic syndrome? Select all that apply. Calcium channel blockers Thiazide diuretics Beta blockers Angiotensin-converting enzyme (ACE) inhibitors Alpha blockers Rationale In addition to helping control blood pressure, thiazide diuretics, beta blockers, and ACE inhibitors improve the action of insulin and thus are beneficial to patients with metabolic syndrome. Calcium channel blockers and alpha blockers are metabolically neutral and are not a preferred treatment for patients with metabolic syndrome. p. 325 When assessing four patients who are suspected to have metabolic syndrome, which patients would the nurse classify as high risk of developing cardiovascular disease? Select all that apply. A patient with high-density lipid cholesterol level of 25 mg/dL A patient with triglyceride level of 110 mg/dL A patient with fasting blood sugar of 70 mg/dL A patient with blood pressure of 120/80 mm Hg A patient with a waist circumference of 44 inches (1.12 m) Rationale A patient with a high-density lipid level of 25 mg/dL may have metabolic syndrome; note that the standard lower risk factor defining limit is 40 mg/dL. A patient with a waist circumference of 44 inches (1.12 m) is above the upper risk factor defining limit of 40 inches (1.02 m); this patient may also have metabolic syndrome. All the other patients' readings are within the normal ranges. Test-Taking Tip: Recall the risk factor defining limits for metabolic syndrome in both men and women. Applying this knowledge in this scenario will help you choose the appropriate answer. p. 322 In women, which clinical indicator suggests a decreased risk for cardiovascular disease? Waist circumference of 37 inches (0.94 m) Waist circumference of 38 inches (0.97 m) High-density lipid cholesterol level of 55 mg/dL High-density lipid cholesterol level of 30 mg/dL Rationale For metabolic syndrome, the risk factor defining limit for high-density lipoprotein cholesterol level is 40 mg/dL in men and 50 mg/dL in women. Therefore a high-density cholesterol level of 55 mg/dL denotes a finding consistent with a reduced risk for cardiovascular disease. A waist circumference of less than 35 inches (0.89 m) indicates a decreased risk of cardiovascular disease. p. 322 The healthcare provider is instructing a patient with metabolic syndrome to increase physical activity and reduce his or her weight. Which range represents the goal for the ideal body mass index for this patient? 18.5 to 24.9 kg/m 2 25 to 29.9 kg/m 2