Reference no: EM133703658

Question

A nurse is assisting with the care of a client who arrives for a follow-up appointment. Medical history: Hypertension Hyperlipidemia Obesity Osteoarthritis GERD Smoking history (quit 2 years ago) Diagnostic Results Laboratory findings three months ago:

• Hemoglobin A1c 6.2% (4%- to 5.9%)

• Fasting blood glucose 175 mg/dL (74 to 106 mg/dL)

• Cholesterol: -Total 275 mg/dL (less than 200 mg/dL)

-High-density lipoproteins (HDL) 30 mg/dL (greater than 45 mg/dL (male); less than 55 mg/dL(female) -Low-density lipoproteins (LDL) 180 mg/dL (less than 130 mg/dL) -Triglycerides 210 mg/dL (40 to 160 mg/dL (male); 35 to 135 mg/dL (female) Weight: 97.5 kg (215 lb) BMI: 31.7 Nurses Notes Client's visit to clinic three months ago: Vital signs: Temperature 36.8° C (98.2° F) Pulse rate 92/min Respiratory rate 24/min Blood pressure 152/78 mm Hg Client reports joint pain, weight gain following smoking cessation, increased blood pressure, and GERD. Reports increased stress levels due to work pressures. Increased stress has resulted in greater alcohol intake. A nurse is evaluating a client's progress in adopting health-promotion strategies. Click to highlight the areas that indicate the client is progressing in adopting a healthier lifestyle. Laboratory findings indicated pre-diabetes mellitus, hyperlipidemia, and obesity. Client was educated.