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Nursing 3100 Exam 2 questions well answered to pass
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Nursing 3100 Exam 2 questions wellanswered to pass
The client says to the nurse, "My healthcare provider says I have heart disease and I need to decrease
the cholesterol in my diet. I don't understand how this happened." Which response should the nurse say
to the client? - correct answer ✔✔The arteries around your heart are narrowed by low density
lipoprotein (LDL) cholesterol buildup in them.
The nurse is providing education about lipids for a client with hyperlipidemia. Which information should
the nurse include in the education? - correct answer ✔✔High density lipoprotein (HDL) is called good
cholesterol because it removes cholesterol from the body and gets rid of it from the liver.
Which information about the dietary intake of lipids should the nurse provide a client? - correct answer
✔✔Phospholipids are essential to building plasma membranes."
"Cholesterol is a building block for estrogen and testosterone."
"Triglycerides are the major form of fat in the body."
"Cholesterol in the diet is unnecessary as the liver synthesizes it."
The nurse reviewing a client's serum cholesterol levels notes the following:
Low density lipoprotein (LDL) = 105 mg/dl
High density lipoprotein (HDL) = 37 mg/dl
Low density lipoprotein (LDL)/high density lipoprotein (HDL) ratio = 4.1
Which should the nurse identify as the priority outcome in the client's plan of care? - correct answer
✔✔Maintenance of normal lipid levels without the use of pharmacotherapy.
The nurse has completed nutritional teaching for a client with a high low density lipoprotein (LDL) level.
Which menu choice made by the client indicates an understanding of the teaching? - correct answer
✔✔Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-
wheat bread, and low-fat chocolate pudding
,The patient is receiving cholestyramine (Questran) and complains of constipation. The physician orders
bisacodyl (Dulcolax) tablets. When is the best time for the nurse to administer the bisacodyl (Dulcolax)
tablets? - correct answer ✔✔Four hours after administration of cholestyramine (Questran).
Other drugs must be administered more than 2 hours before, or 4 hours after, the patient takes
cholestyramine (Questran) because it can bind to other drugs and interfere with their absorption
The nurse has completed the education for a client prescribed gemfibrozil (Lopid). Which statement
made by the client indicates an understanding of the information? - correct answer ✔✔"I must take this
medication with food or I can have heartburn."
A client tells the nurse they will need a prescription for high cholesterol but does not know which would
be best. Which information should the nurse provide the client? - correct answer ✔✔The bile resins
keep cholesterol from being absorbed but have some side effects."
"The statin drugs inhibit the making of cholesterol and are considered the best choice."
"Fibric acid drugs will decrease triglycerides, but your low density lipoprotein (LDL) will still be high."
A client asks the nurse how fat is carried in the blood. Which response should the nurse provide? -
correct answer ✔✔"Fats travel in the blood on little proteins called lipoproteins."
Which assessment data obtained from a client receiving a statin is a priority for the nurse to report to
the healthcare provider? - correct answer ✔✔My calves hurt, and I had a hard time walking to the
bathroom."
The nurse must assess for complaints of muscle pain, tenderness, and weakness as this could indicate a
type of myopathy known as rhabdomyolysis.
Which assessment finding for a client receiving a statin is a priority for the nurse to report to the
healthcare provider? - correct answer ✔✔Urine output of 20 mL/hour.
Rhabdomyolysis is a rare, but serious, side effect of statin drugs. Contents of muscle cells spill into the
systemic circulation causing potentially fatal, acute renal failure. Urine output of less than 30 mL/hour is
considered renal failure
Which assessment is a nursing priority for a client receiving cholestyramine (Questran) - correct answer
✔✔Auscultation of bowel sounds in all four abdominal quadrants
,Assessment of bowel sounds is a priority because cholestyramine (Questran) could cause obstruction of
the intestines.
Which information should the nurse include in the education for a client prescribed niacin to lower lipid
levels? - correct answer ✔✔"Take one aspirin 30 minutes before you take your niacin."
Which is the priority action of the nurse when caring for a client receiving a statin with elevated creatine
kinase (CK) levels? - correct answer ✔✔Hold the prescription and notify the healthcare provider.
Elevated creatine kinase (CK) levels could indicate myopathy; if this is suspected, the prescription is held
and the healthcare provider notified.
Which lipid type is associated with the highest risk for the development of atherosclerosis? - correct
answer ✔✔steroids
Which type of lipid serves as fuel for the body when energy is needed? - correct answer ✔✔triglycerides
Which type of lipoprotein is often referred to as "the good type?" - correct answer ✔✔HDL
Which statement provides the best rationale for monitoring HDL and LDL as opposed to total
cholesterol? - correct answer ✔✔Total cholesterol does not differentiate the amounts of "good"
cholesterol and "bad" cholesterol.
The nurse reviewing records should determine that which client's lab values are associated with the
highest risk of developing heart disease? - correct answer ✔✔Total 220, LDL 162, HDL 20
Which statement correctly identifies why restricting dietary intake of cholesterol generally will not result
in a significant reduction of blood cholesterol? - correct answer ✔✔The liver reacts to a low-cholesterol
diet by making more cholesterol.
Recent research suggests that the amount of cholesterol consumed is only slightly related to the amount
in the blood. The liver reacts to a low-cholesterol diet by making more cholesterol when saturated fats
are present. In order to reduce cholesterol levels, the patient should reduce intake of saturated fats and
refined carbohydrates.
, Which describes the mechanism of atorvastatin's (Lipitor) ability to lower blood cholesterol levels? -
correct answer ✔✔Inhibits an enzyme that is essential for cholesterol synthesis.
Which statement is accurate regarding the use of nicotinic acid (Niacin) for lowering blood cholesterol
levels? - correct answer ✔✔Niacin may also reduce triglyceride levels.
the educator is preparing education about the different types of lipids for a nurse. Which should the
educator include in the presentation? - correct answer ✔✔triglycerides
phospholipids
steroids
the nurse has provided education for a client prescribed fenofibrate (Lofibra). Which statement made by
the client indicates an understanding of the information? - correct answer ✔✔"I will expect to see a
change in color of my stool."
Fenofibrate increases the risk of bleeding. A change in color of the stool should be reported to the
healthcare provider.
The nurse has provided client education regarding therapeutic lifestyle changes to help control
cholesterol levels. Which statement made by the client indicates an understanding of the information? -
correct answer ✔✔Maintaining an optimal weight is a nonpharmacological therapeutic lifestyle change
that can control cholesterol levels in the blood.
A medically supervised exercise plan is a nonpharmacological therapeutic lifestyle change that can
control cholesterol levels in the blood.
Eliminating tobacco use is a nonpharmacological therapeutic lifestyle change that can decrease
cholesterol levels in the blood.
the nurse is preparing to provide education for a client prescribed a statin. Which adverse effects should
the nurse include in the teaching? - correct answer ✔✔Severe myopathy is a rare but serious adverse
effect associated with statins.
Rhabdomyolysis is an example of a rare but serious adverse effect associated with statins.
Which anatomical location is Ezetimibe (Zetia) effective in blocking the absorption of cholesterol? -
correct answer ✔✔jejunum
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