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MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1) Which of the following statements made by the client demonstrates understanding of the link 1) between cardiovascular disease and high cholesterol?
A) There is no link between cardiovascular disease and cholesterol levels.
B) My diet does not need to be changed to help control my cardiovascular risk.
C) The only people at risk for high cholesterol are those with a family history.
D) The greater the amount of cholesterol circulating in the blood, the greater the risk of
2) The nurse is educating a group of clients on how high cholesterol leads to heart disease. The best 2) explanation for this is that high cholesterol:
A) Interferes with the conduction system of the heart.
B) Binds to vessel walls, decreasing the amount of blood getting to the heart.
C) Thickens the blood, causing clots. D) Damages the heart muscle.
3) The nurse instructs that client that which of the following foods contain high amounts of Omega-3 3) fatty acids? Select all that apply.
A) Green beans B) Bananas C) Tofu D) Salmon
4) The client asks which components of the lipid profile should be low. The nurses best response is 4) that:
A) VLDL should be high. B) LDL should be low.
C) Total cholesterol levels do not give sufficient information. D) HDL should be low.
5) ________ are the major storage form of fat in the body and the only type of lipid that serves as an 5) important energy source.
A) HDL B) Cholesterol C) LDL D) Triglycerides
6) The client asks how the body gets rid of cholesterol. The nurses correct response is that cholesterol 6) is excreted:
A) As HDL. B) Through the kidneys. C) In bile. D) In feces.
7) The client asks which type of cholesterol is the good cholesterol?
A) VLDL B) LDL C) Triglycerides
8) LDL (low-density lipoprotein) is called the bad cholesterol because it:
A) Consists of 50 percent cholesterol. B) Synthesizes other steroids.
C) Is stored in the tissues. D) Increases the risk of heart disease.
9) The client has an HDL cholesterol value of 38 mg/dl. The nurse interprets this value as: 9)
A) Normal. B) Borderline.
C) Low. D) High.
10) Lifestyle changes that can lower blood lipid levels include which of the following? Select all that 10) apply.
A) Increased exercise
B) Restriction of dietary saturated fat and cholesterol
C) Smoking cessation D) Taking medication
11) The client has been diagnosed with hyperlipidemia and is being educated on types of food to 11) include in his diet. The most appropriate nursing diagnosis for this client is:
A) Impaired health maintenance, related to effects of drug therapy. B) Deficient knowledge, related to need for altered lifestyle.
C) Noncompliance, related to dietary regime. D) Self-care deficit, related to disease process.
12) The nurse instructs the client to do which of the following to decrease cholesterol? Select all that 12) apply.
A) Stop smoking B) Increase physical activity C) Increase dietary fiber D) Increase LDL intake
13) Therapeutic lifestyle changes that can control high blood cholesterol levels include what 13) percentage of total caloric intake as saturated fat?
A) 10 percent B) 6 percent C) 7 percent D) 2 percent
14) The client has been taking nicotinic acid (Nicobid). Which of the following adverse effects are 14) common with nicotinic acid? Select all that apply.
A) Chills B) Hot flashes C) Goosebumps D) Flushing
15) ________ are the drug of choice to decrease triglyceride levels.
A) Statin B) Fibric acid agents
C) Bile acid agents D) HMG CoA reductase inhibitors
16) The client is going to be started on cholestyramine (Questran), 6 mg, three times daily. The nurse 16) instructs the client to:
A) Take with large amounts of fluid. B) Take in the morning. C) Take with food. D) Take without food.
17) The physician tells the nurse a HMG-CoA reducatase inhibitor has been ordered. The nurse 17) knows this type of drug is also known as:
A) Fibric acid. B) Omega-3 fatty acid. C) Statin. D) Bile acid resin.
18) ________ is a medical condition in which the muscle tissue becomes extremely inflamed resulting 18) in breakdown of muscle that can be caused by statins.
A) Rhabdomyolysis C) Multiple sclerosis
B) Spasticity D) Dystonia
19) The nurse instructs a client taking colesevelam (WelChol) to: 19) A) Take other medications 1 hour before or 4 hours after colesvelam.
B) Take other medications 4 hours before or 1 hour after taking colesvelam. C) Avoid all other medications for 6 hours before and after taking colesvelam. D) Take all medications at the same time as colesevelam.
20) The client asks the nurse how Lipitor will help lower cholesterol. The nurse responds, Lipitor 20) belongs to a class of drugs that:
A) The action of which is not understood.
B) Make the body excrete cholesterol quicker.
C) Bind to cholesterol and inhibit its production. D) Interfere with how cholesterol is made.
21) A client taking simvastatin (Zocor) should be instructed to avoid: 21) A) All fruit juices. B) Co Q10 supplements.
C) Grapefruit juice. D) Grape juice.
22) Bile acid resins cause which of the following adverse events? Select all that apply. 22)
A) Bloating C) Headache
D) Increased urination
23) The nurse explains ezetimibe (Zetia):
A) Works in the small intestine to block absorption of dietary cholesterol
B) Causes rhabdomyolysis.
C) Increases LDL levels.
D) Increases triglyceride levels.
24) Combination drugs may improve compliance because: 24) A) There are no side effects to combination drugs.
B) The physician can prescribe a combination drug to prevent rhabdomyolysis. C) The client can obtain with a prescription.
D) Taking one tablet is easier to remember.
25) Which statement made by the client indicates a need for further teaching? 25) A) I can eat any food I want as long as I take my medications.
B) I need to call the physician if I experience severe muscle weakness.
C) I should take my medications every day.
D) A low fat diet needs to be followed even with medications to treat high cholesterol.
26) The nurse instructs the client to decrease irritation of the mouth and constipation when taking bile 26) acid agents to:
A) Take with coffee to increase the effect of the drug. B) Dissolve in water and increase fluid intake.
C) Decrease fluid intake. D) Chew tablets.
3) C, D 4) B
10) A, B, C 11) B
12) A, B, C 13) C
14) B, D 15) B 16) A 17) C 18) A 19) A 20) D 21) C 22) A, B 23) A 24) D 25) A 26) B
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