What should the nurse assess to determine whether the client has other major risk factors for CAD in the given question?
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An obese white male client, age 49, is diagnosed with hypercholesterolemia. The physician orders a low-fat, low-cholesterol, low-calorie diet to reduce blood lipid levels and promote weight loss. This diet is crucial to the client's well-being because his race, sex, and age increase his risk for coronary artery disease (CAD).
1. A history of diabetes mellitus. B. Elevated high-density lipoprotein (HDL) levels. C. A history of ischemic heart disease. D. Alcoholism.
CAD refers to coronary artery disease and it is very dangerous to the patient. If someone has coronary artery disease, then they have a cardiovascular disease. There are many different types that affect the heart. Many people who suffer from one of these diseases would have pain in their chest. Although a person could be as healthy as can be, but contract coronary artery disease because it is in their family history.
However, a poor diet could also cause CAD. High cholesterol, obesity and smoking can result in CAD. Therefore, if a person who is obese and has coronary artery disease, the nurse should check out his diabetes history. This would show whether he is more susceptible to coronary artery disease.
A history of diabetes mellitus.-rationale: diabetes mellitus, smoking, and hypertension are other major risk factors for cad. elevated hdl levels arent a risk factor for cad; in fact, increased hdl levels seem to protect against cad. ischemic heart disease is another term for cad, not a risk factor. alcoholism hasnt been identified as a major risk factor for cad.client needs category: health promotion and maintenanceclient needs subcategory: nonecognitive level: knowledgereference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 861.