CH 23 Lipid

Question 1

1) 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?
1. “The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in them.”
2. “Low density lipoprotein (LDL) cholesterol is converted to saturated fat, which is stored in your coronary arteries.”
3. “It is a good idea to decrease low density lipoprotein (LDL) cholesterol in your diet, although current research has not proven a correlation yet.”
4. “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.”

Answer 1

1. “The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol buildup in them.”

Question 2

19) The nurse reviewing records should determine that which client’s lab values are associated with the highest risk of developing heart disease?
1. Total 200, LDL 104, HDL 30
2. Total 210, LDL 135, HDL 58
3. Total 220, LDL 162, HDL 20
4. Total 186, LDL 125, HDL 54

Answer 2

3. Total 220, LDL 162, HDL 20

Question 3

11) Which assessment finding for a client receiving a statin is a priority for the nurse to report to the healthcare provider?
1. Bowel sounds markedly increased in all four quadrants of the abdomen
2. Urine output of 200 mL/hour
3. Urine output of 20 mL/hour
4. Moderate elevation in liver function tests (LFTs)

Answer 3

3. Urine output of 20 mL/hour

Question 4

14) Which is the priority action of the nurse when caring for a client receiving a statin with elevated creatine kinase (CK) levels?
1. Hold the prescription and obtain another creatine kinase (CK) level in 6 hours.
2. Administer the prescription and continue to assess for muscle pain.
3. Administer the prescription and obtain another creatine kinase (CK) level in 6 hours.
4. Hold the prescription and notify the healthcare provider.

Answer 4

4. Hold the prescription and notify the healthcare provider.

Question 5

24) The nurse has provided education for a client prescribed fenofibrate (Lofibra). Which statement made by the client indicates further teaching is required?
1. “I will expect to see a change in color of my stool.”
2. “I will take my prescription on an empty stomach.”
3. “I will monitor myself for bruising.”
4. “I will report nausea and vomiting to my healthcare provider.”

Answer 5

2. “I will take my prescription on an empty stomach.”

Question 6

7) The nurse has completed the education for a client prescribed gemfibrozil (Lopid). Which statement made by the client indicates an understanding of the information?
1. “I should take this medication on an empty stomach to help it absorb better.”
2. “I must take this medication with food or I can have heartburn.”
3. “My physician said it really doesn’t matter how I take this medication.”
4. “Taking this medication with yogurt will help it to absorb better.”

Answer 6

2. “I must take this medication with food or I can have heartburn.”

Question 7

10) Which assessment data obtained from a client receiving a statin is a priority for the nurse to report to the healthcare provider?
1. “My calves hurt, and I had a hard time walking to the bathroom.”
2. “I know I just started this medicine yesterday, but my stomach really is upset.”
3. “Will you call my healthcare provider? I have a really bad headache.”
4. “My heart rate really went up this morning.”

Answer 7

1. “My calves hurt, and I had a hard time walking to the bathroom.”

Question 8

12) Which assessment is a nursing priority for a client receiving cholestyramine (Questran)?
1. Auscultation of heart sounds
2. Auscultation of bowel sounds in all four abdominal quadrants
3. Assessment of 24-hour urine output
4. Palpation for peripheral edema in the lower extremities

Answer 8

2. Auscultation of bowel sounds in all four abdominal quadrants

Question 9

13) Which information should the nurse include in the education for a client prescribed niacin to lower lipid levels?
1. “Be sure to take your niacin on an empty stomach as soon as you arise.”
2. “Take one aspirin 30 minutes before you take your niacin.”
3. “Take your niacin tablet with food and at least one full glass of water.”
4. “It may be time to ask your healthcare provider about switching to another drug.”

Answer 9

2. “Take one aspirin 30 minutes before you take your niacin.”

Question 10

30) A patient has been prescribed gemfibrozil (Lopid). Which laboratory tests should the nurse schedule for the client on the next clinic appointment? Select all that apply.
1. Blood glucose
2. Liver enzymes
3. Potassium
4. Hemoglobin and hematocrit
5. Urinalysis

Answer 10

1. Blood glucose
2. Liver enzymes
3. Hemoglobin and hematocrit