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What should the nurse assess to determine whether the client has other major risk factors for CAD in the given question?

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.

This question is part of cardiovascular disorders (part 1)

Asked by Ava, Last updated: Jul 29, 2020

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2 Answers

D. Ronald

D. Ronald, Writer, Austin

Answered Nov 05, 2018

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.

 

John Smith

John Smith

Answered Sep 09, 2016

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.
 

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