NURS 3100 Exam 4 questions and
answers graded A+
The 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.
"The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in
them."
B.
"Low density lipoprotein (LDL) cholesterol is converted to saturated fat, which is stored in your coronary
arteries."
C.
"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."
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." - correct answer ✔✔A
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 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.
B.
High density lipoprotein (HDL) is called good cholesterol because it increases the oxygen content in the
arteries and reduces the amount of plaque buildup.
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) decreases the bad cholesterol (low density lipoprotein [LDL]), and
promotes excretion of it through the kidneys. - correct answer ✔✔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." - correct answer ✔✔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.
Validate that the client understands the importance of lifestyle changes.
C.
Education about diet and exercise.
D.
,Maintenance of normal lipid levels without the use of pharmacotherapy. - correct answer ✔✔D
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.
Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat
bread, and low-fat chocolate pudding
D.
Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal
cookie - correct answer ✔✔C
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.
Four hours after administration of cholestyramine (Questran).
D.
One hour after administration of cholestyramine (Questran). - correct answer ✔✔C
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.
, "My physician said it really doesn't matter how I take this medication."
B.
"I must take this medication with food or I can have heartburn."
C.
"I should take this medication on an empty stomach to help it absorb better."
D.
"Taking this medication with yogurt will help it to absorb better." - correct answer ✔✔B
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." -
correct answer ✔✔C, D, E
A client asks the nurse how fat is carried in the blood. Which response should the nurse provide?
A.
"Fats are encapsulated inside little bags known as lecithin."
B.
"Fats in your blood are carried inside small molecules called phospholipids."
answers graded A+
The 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.
"The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in
them."
B.
"Low density lipoprotein (LDL) cholesterol is converted to saturated fat, which is stored in your coronary
arteries."
C.
"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."
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." - correct answer ✔✔A
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 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.
B.
High density lipoprotein (HDL) is called good cholesterol because it increases the oxygen content in the
arteries and reduces the amount of plaque buildup.
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) decreases the bad cholesterol (low density lipoprotein [LDL]), and
promotes excretion of it through the kidneys. - correct answer ✔✔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." - correct answer ✔✔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.
Validate that the client understands the importance of lifestyle changes.
C.
Education about diet and exercise.
D.
,Maintenance of normal lipid levels without the use of pharmacotherapy. - correct answer ✔✔D
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.
Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat
bread, and low-fat chocolate pudding
D.
Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal
cookie - correct answer ✔✔C
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.
Four hours after administration of cholestyramine (Questran).
D.
One hour after administration of cholestyramine (Questran). - correct answer ✔✔C
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.
, "My physician said it really doesn't matter how I take this medication."
B.
"I must take this medication with food or I can have heartburn."
C.
"I should take this medication on an empty stomach to help it absorb better."
D.
"Taking this medication with yogurt will help it to absorb better." - correct answer ✔✔B
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." -
correct answer ✔✔C, D, E
A client asks the nurse how fat is carried in the blood. Which response should the nurse provide?
A.
"Fats are encapsulated inside little bags known as lecithin."
B.
"Fats in your blood are carried inside small molecules called phospholipids."
