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Nursing 3100 Exam Questions and Answers
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- HESI EXAM V6 Questions And Answers 2024
Nursing 3100 Exam Questions and Answers
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Nursing 3100 Exam Questions andAnswers
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? - ANS-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? - ANS-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? -
ANS-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? -
ANS-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? - ANS-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? - ANS-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? -
ANS-"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? -
ANS-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? - ANS-"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? - ANS-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? - ANS-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) -
ANS-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? - ANS-"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? - ANS-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? - ANS-steroids
Which type of lipid serves as fuel for the body when energy is needed? -
ANS-triglycerides
Which type of lipoprotein is often referred to as "the good type?" - ANS-HDL
Which statement provides the best rationale for monitoring HDL and LDL as opposed to
total cholesterol? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-"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? - ANS-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? - ANS-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? - ANS-jejunum
The educator is reviewing the classifications of prescriptions used to decrease blood
cholesterol levels with a nurse. Which prescriptions should the educator include in the
discussion of fibric acid agents? - ANS-Tricor is a fibric acid agent used to decrease
blood cholesterol levels.
Lopid is a fibric acid agent used to decrease blood cholesterol levels.
The nurse is discussing with a client, the dietary intake of omega-3 and CoQ10-rich
foods to control lipid levels. Which foods should the nurse include in the discussion? -
ANS-Sardines
Almonds
Olive oil
A patient has been prescribed gemfibrozil (Lopid). Which laboratory tests should the
nurse schedule for the client on the next clinic appointment? - ANS-Gemfibrozil (Lopid)
may increase serum glucose levels.
Gemfibrozil (Lopid) may increase liver enzyme levels.
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