A 50-year-old woman presents for a follow-up visit to discuss the laboratory results from her annualphysical examination and a treatment plan. Her total serum cholesterol level is 260 mg/dl, which is upfrom 200 mg/dl the previous year. Her blood pressure is 140/100 mm Hg, which is up from 135/90 mmHg; she weighs 165 lb, a gain of 12 lb from the previous year. Results from other tests and her physicalexamination are normal. Her height is 5 ft 3 in. She is postmenopausal and has been receiving hormonalreplacement therapy for 2 years. You discuss her increased lipid levels and increased blood pressure inthe context of her weight gain and dietary habits. When asked about her dietary habits, she says thatshe has heard that putting salt on food causes high blood pressure. She asks if she should stop puttingsalt on her food because her blood pressure is high.How would you describe for this patient the relationship between sodium and hypertension?O A. Tell her that reducing sodium intake usually leads to significant reduc-tions in blood pressureO B. Tell her that reducing intake of sodium and fats while increasing intakeof fruits, vegetables, and whole grains usually leads to significant reduc-tions in hypertensionaC. Explain to her that decreasing sodium is only important in elderly patientsOD. Tell her that research studies are unclear about the role of sodium inhypertensionO E. Explain to her that antihypertensive medication is effective in reducinghypertension, making sodium reduction unnecessary

In a healthcare setting, the important role of the nurse is to provide health education to the…

Answered: A 50-year-old woman presents for a…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?
HC is a 42-year-old male with hypertension (his average systolic/diastolic blood pressure is 147/92 mm Hg), who is referred to the outpatient clinic. Dietary recall shows that he consumes highly processed foods with added salt such as processed meats, canned foods, salty snacks, and he does not consume adequate amounts of fresh vegetables and fruits. d. What is the recommended optimal dietary intake for sodium and potassium for HC? e. What would be the major specific recommendations to modify HG’s current diet to improve management of hypertension? How would your dietary modification recommendations affect his intake of sodium and potassium?
A 31-year-old white male patient with known type 1 diabetes mellitus, end-stage renal disease secondary to diabetic nephropathy, and a history of alcoholism was admitted with acute abdominal pain in the mid-epigastrium, with a blood gas values of pH of 7.48, poz of 121 mm Hg, 02 saturation of 99%, pCO2 of 30 mm Hg, and bicarbonate of 20 mE q/L. What is a possible compensatory mechanism? A. Decreasing H* ion retention B. Increasing bicarbonate retention C. Increasing the respiratory rate D. Decreasing the respiratory rate
A 62-year-old man who is a chronic smoker with a history of widespread atherosclerotic vascular disease complains of a 3-h history of severe midabdominal pain, accompanied by nausea and vomiting. He has a history of myocardial ischemia and peripheral vascular disease. On examination, he is writhing in pain. His abdomen has normal bowel sounds and minimal tenderness. A small amount of blood is present in the stool specimen. The electrolytes show a low bicarbonate level at 15 mEq/L, and the serum lactate level is high, which are indicative of tissue receiving insufficient oxygenation leading to tissue injury. A surgeon, who is concerned about mesenteric ischemia, has been called to evaluate the patient. Which of the following is the most likely diagnosis? Appendicitis Cholecystitis Gastritis Superior mesenteric thrombosis Amebic colitis
If you choose one from this group, you need to identify the AIM of this intervention by discussing what pathophysiological changes, specific to Mehmet, that the intervention is intended to detect. You need to identify what health impact those pathophysiological changes might have for Mehmet. You need to briefly refer to any GUIDELINES which support this intervention. yearly optometrist assessment yearly renal function assessment
I need all this questions answered please
A nurse is preparing to administer digoxin 12 mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose?
Hematology Data: 24 hour urine volume: 1,000 mL; Serum Creatinine: 2.0 mg/dL; Urine Creatinine: 200 mg/dL What's the calculation for the Creatinine clearance? Please show steps, thank you!
Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus.His cardiovascular risk was > 15%. His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol.He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs . Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis. Medications: Jardiamet (empagliflozin 5mg, metformin 500 mg), twice daily, with or after food ramipril 5 mg, daily Rosuzet (rosuvastatin 20mg,…
Ordered; Coumadin 7.5mg po daily. The strenght of the second tablets is 2.5 mg/tablets. How many tablets of this vitamin k antagonist would be given to the patient who has venous thrombosis
A 45-year-old woman is brought to the emergency department 45 minutes after her husband found her unconscious on the floor. She is unresponsive to painful stimuli. Her temperature is 37°C (98.6'F), pulse is 115/min, respirations are 6/min and shallow, and blood pressure is 110/60 mm Hg. Physical examination shows no other abnormalities. Arterial blood gas analysis on room air shows: pH : 7.08 Pco2: 80mmHg Po2: 45 mm Hg Which of the following is the most likely cause of this patient's hypoxemia? A) Decreased alveolar ventilation B) Decreased dead space ventilation C) Increased diffusion defect D) Increased shunt E) Increased ventilation-perfusion mismatch
A 42 year old man reports to his physician for annual physical examination. He is 5'8" and weighs 240 pounds with a skin fold test revealing 33% body fat composition. The patient complains of recent episodes of waking up in the middle of the night with the urge to urinate. Further questioning reveals he has also been thirstier than normal. Laboratory analysis reveals a random plasma glucose level of 160 mg/dL and hemoglobin A1c of 7.2%. His physician orders further testing and it is found that his C-peptide level is normal. What type of diabetes would this patient have? O Type 1 O Type 2 O Gestational Other

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