what laboratory value would be considered a high risk measure for coronary heart disease assessment

ATI RN

ATI Nutrition Proctored

1. What laboratory value would be considered a high-risk measure for coronary heart disease assessment?

A. triglycerides > 150 mg/dL
B. BMI > 31
C. LDL cholesterol < 128 mg/dL
D. blood pressure of 128/82 mmHg

Correct answer: B

Rationale: The correct answer is B: BMI > 31. A BMI over 31 is considered a high-risk factor for coronary heart disease as it indicates obesity, which is strongly linked to cardiovascular issues. Triglycerides > 150 mg/dL (choice A) can contribute to heart disease risk but are not as specific as BMI in assessing overall risk. LDL cholesterol < 128 mg/dL (choice C) is actually a desirable level, indicating lower risk. A blood pressure of 128/82 mmHg (choice D) is within normal range and not a high-risk measure specifically for coronary heart disease.

2. The healthcare professional in the dialysis unit understands that patients may experience various complications during hemodialysis. What describes a common complication during hemodialysis?

A. confusion
B. profuse sweating
C. hypertension
D. leg cramps

Correct answer: D

Rationale: Leg cramps are a common complication during hemodialysis due to shifts in fluid and electrolyte levels that occur during the treatment. Confusion (choice A) is not a common complication specifically related to hemodialysis. Profuse sweating (choice B) is not typically associated with hemodialysis complications. Hypertension (choice C) might be a pre-existing condition in some patients but is not a direct common complication of hemodialysis.

3. Legally, Patients chart are:

A. Owned by the government since it is a legal document
B. Owned by the doctor in charge and should be kept from the administrator for whatever reason
C. Owned by the hospital and should not be given to anyone who request it other than the doctor in charge
D. Owned by the patient and should be given by the nurse to the client as requested

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

4. Which food is recommended for a client trying to increase their intake of calcium?

A. Apples
B. Yogurt
C. Chicken
D. Pasta

Correct answer: B

Rationale: Yogurt is high in calcium, which is essential for bone health.

5. In conducting a cleansing enema, how does the nurse position the client?

A. Right lateral position
B. Left lateral position
C. Right Sim's position
D. Left Sim's position

Correct answer: B

Rationale: In preparing a patient for a cleansing enema, the nurse typically positions the patient in the left lateral position. This position allows for the best flow of the solution due to the anatomical configuration of the colon. The right lateral position, right Sim's position, and left Sim's position are not typically used for this procedure. The rationale provided initially is incorrect as it pertains to lung expansion and postural drainage, which are not relevant to a cleansing enema procedure.