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

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 Rationale 20.2 20 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 9/6/21, 2:01 AM Page 2 of 42 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 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 2 Which drug categories are used as preferred antihypertensive treatments in patients with metabolic syndrome? Select all that apply. Correct (48) 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 Calcium channel blockers Thiazide diuretics Beta blockers Angiotensin-converting enzyme (ACE) inhibitors Alpha blockers 9/6/21, 2:01 AM Page 3 of 42 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. 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 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