Question

While reviewing the assessment data of a male client, a nurse suspects that the client may have metabolic syndrome based on which of the following? Select all that apply.

a) BP of 160/92 mmHg
b) HDL level of 55 mg/dL
c) Waist circumference of 48 inches
d) Fasting blood glucose level of 130 mg/dL
e) Triglyceride level of 140 mg/dL

Answer 1

The nurse suspects metabolic syndrome based on the client's high blood pressure, large waist circumference, and high fasting blood glucose level. However, the HDL cholesterol and triglyceride levels provided do not suggest metabolic syndrome as they are within normal ranges.

Step-by-step explanation:

While reviewing the assessment data of a male client, a nurse suspects that the client may have metabolic syndrome based on several key indicators. The criteria for metabolic syndrome include abdominal obesity, high blood pressure (hypertension), high fasting blood glucose, high triglyceride levels, and low HDL cholesterol levels. These criteria are significant risk factors for cardiovascular diseases and type 2 diabetes.

The client's data that may indicate metabolic syndrome include:

• a) BP of 160/92 mmHg
• c) Waist circumference of 48 inches
• d) Fasting blood glucose level of 130 mg/dL

These values meet the criteria for metabolic syndrome as they demonstrate hypertension (significant if persistent blood pressure measurements are 140/90 mmHg or above), abdominal obesity, and impaired glucose homeostasis. However, the HDL level of 55 mg/dL does not indicate metabolic syndrome, as it is within the normal range, and the triglyceride level of 140 mg/dL is also considered normal (triglycerides level of 150 mg/dL or lower is normal).