Exam (elaborations)
NURS 3100 Exam 4 –Questions & Correct Answers
NURS 3100 Exam 4 –Questions & Correct Answers
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NURS 3100 Exam 4 –Questions & Correct AnswersThe client states 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 provide the client?
A.
"Too much low density lipoprotein (LDL) cholesterol narrows all the arteries
in your body so your heart does not receive enough blood to be healthy."
B.
"The arteries around your heart are narrowed by low density lipoprotein
(LDL) cholesterol buildup in them."
C.
"Low density lipoprotein (LDL) cholesterol is converted to saturated fat,
which is stored in your coronary arteries."
D.
"It is a good idea to decrease low density lipoprotein (LDL) cholesterol in your
diet, although current research has not proven a correlation yet." ✔️Ans - B
The nurse is providing education about lipids for a client with hyperlipidemia.
Which information should the nurse include in the education?
A.
High density lipoprotein (HDL) decreases the bad cholesterol (low density
lipoprotein [LDL]), and promotes excretion of it through the kidneys.
B.
High density lipoprotein (HDL) decreases low density lipoprotein (LDL) and
prevents it from converting to very low density lipoprotein (VDRL), which is
the worst kind of cholesterol in the body.
C.
High density lipoprotein (HDL) is called good cholesterol because it removes
cholesterol from the body and gets rid of it in the liver.
D.
High density lipoprotein (HDL) is called good cholesterol because it increases
the oxygen content in the arteries and reduces the amount of plaque buildup.
✔️Ans - C
Which information about the dietary intake of lipids should the nurse provide
a client?
,Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
A.
"Phospholipids will help prevent Alzheimer's disease."
B.
"Phospholipids are essential to building plasma membranes."
C.
"Cholesterol is a building block for estrogen and testosterone."
D.
"Triglycerides are the major form of fat in the body."
E.
"Cholesterol in the diet is unnecessary as the liver synthesizes it." ✔️Ans - b,
c, d, and e
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?
A.
The client's achievement of normal lipid levels through compliance with
medications.
B.
Maintenance of normal lipid levels without the use of pharmacotherapy.
C.
Education about diet and exercise.
D.
Validate that the client understands the importance of lifestyle changes.
✔️Ans - B
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?
A.
Beef tenderloin with gravy and noodles, fruit salad with apples and grapefruit,
slice of rye bread, and apple pie
B.
,Grilled chicken salad with strawberries and pecans, baked macaroni and
cheese, and low-fat brownie
C.
Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and
olive oil, and raisin-oatmeal cookie
D.
Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced
apples, slice of whole-wheat bread, and low-fat chocolate pudding ✔️Ans -
D
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?
A.
The drugs can be administered together.
B.
Bisacodyl (Dulcolax) can be given any time but must be taken with food.
C.
One hour after administration of cholestyramine (Questran).
D.
Four hours after administration of cholestyramine (Questran). ✔️Ans - d
The nurse has completed the education for a client prescribed gemfibrozil
(Lopid). Which statement made by the client indicates an understanding of
the information?
A.
"Taking this medication with yogurt will help it to absorb better."
B.
"I should take this medication on an empty stomach to help it absorb better."
C.
"I must take this medication with food or I can have heartburn."
D.
"My physician said it really doesn't matter how I take this medication." ✔️Ans
- C
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?
, Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
A.
"The best drugs to raise the high density lipoprotein (HDL) levels are the
fibric acid drugs."
B.
"The statin drugs are good but will cause a lot of flushing if you swallow them
with warm fluids."
C.
"The bile resins keep cholesterol from being absorbed but have some side
effects."
D.
"The statin drugs inhibit the making of cholesterol and are considered the best
choice."
E.
"Fibric acid drugs will decrease triglycerides, but your low density lipoprotein
(LDL) will still be high." ✔️Ans - c, d, and e
A client asks the nurse how fat is carried in the blood. Which response should
the nurse provide?
A.
"Fats are free floating in your circulatory system."
B.
"Fats travel in the blood on little proteins called lipoproteins."
C.
"Fats in your blood are carried inside small molecules called phospholipids."
D.
"Fats are encapsulated inside little bags known as lecithin." ✔️Ans - b
Which assessment data obtained from a client receiving a statin is a priority
for the nurse to report to the healthcare provider?
A.
"Will you call my healthcare provider? I have a really bad headache."
B.
"I know I just started this medicine yesterday, but my stomach really is upset."
C.
"My heart rate really went up this morning."
D.
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