HINKLE & CHEEVER: BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICALSURGICAL NURSING, FOURTEENTH EDITION: CHAPTER 27: MANAGEMENT OF PATIENTS WITH CORONARY VASCULAR DISORDERS PREP U

A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. The client's cholesterol profile is as follows: total cholesterol 265 mg/dl, lowdensity lipoprotein (LDL) 139 mg/dl, and high-density lipoprotein (HDL) 32 mg/dl. The client asks the nurse how to lower his cholesterol. What is the best response by the nurse? ANSWER: The nurse will ask the dietitian to talk with the client about modifying the diet. Explanation: A dietitian can help the client decrease the fat in the diet and make other beneficial dietary modifications. This client's total cholesterol isn't within the recommended guidelines; it should be less than 200 mg/dl. LDL should be less than 79 mg/dl, and HDL should be greater than 40 mg/dl. Although this client should take statin medication, the client should still be concerned about cholesterol levels and make other lifestyle changes, such as dietary changes, to help lower it. The client should increase activity level, but doesn't need to run 2 miles per day. A client is receiving morphine to relieve chest pain. The order is for 4 mg IV now. The pharmacy supplies morphine sulfate at 5 mg per mL. How many mL will the nurse give the client? Enter the correct number ONLY. ANSWER: 0.8 Explanation: (4 mg/5 mg) X 1 mL = 0.8 mL. A client returns for a follow-up visit to the cardiologist 4 days after a trip to the ED for sudden shortness of breath and abdominal pain. The nurse realizes the client had a myocardial infarction because the results from the blood work drawn in the hospital shows: ANSWER: elevated troponin levels.