Chap 27 (exam 3)

Question 1

Patients taking cholestyramine (Questran) may experience which adverse effect?
Blurred vision and photophobia
Drowsiness and difficulty concentrating
Diarrhea and abdominal cramps
Belching and bloating

Answer 1

Belching and bloating

Question 2

The nurse will instruct the patient who is taking antilipemic drugs about which dietary measures? Select all that apply:
Taking supplements of fat-soluble vitamins
Taking supplements of B vitamins
Increasing fluid intake
Choosing foods that are lower in cholesterol and saturated fats
Increasing the intake of raw vegetables, fruit and bran

Answer 2

Taking supplements of fat-soluble vitamins
Increasing fluid intake
Choosing foods that are lower in cholesterol and saturated fats
Increasing the intake of raw vegetables, fruit and bran

Question 3

In reviewing the history of a newly admitted cardiac patient, the nurse knows that the patient would have a contraindication to antilipemic therapy if which condition is present?
Liver disease
Renal disease
Coronary artery disease
Diabetes mellitus

Answer 3

Liver disease

Question 4

A woman is being screened in the cardiac clinic for risk factors for coronary artery disease. Which would be considered a negative (favorable) risk factor for her?
High-density lipoprotein (HDL) cholesterol level of 30 mg/dL
HDL cholesterol level of 75 mg/dL
Low-density lipprotein (LDL) level of 25 mg/dL
History of diabetes mellitus

Answer 4

HDL cholesterol level of 75 mg/dL

Question 5

A patient who has started taking niacin complains that he “hates the side effects”. Which statement by the nurse is most appropriate?
“You will soon build up tolerance to these side effects”
“You need to take the niacin on an empty stomach”
“You can take the niacin every other day is the side effects are bothersome”
“Try taking a small dose of ibuprofen (Advil) 30 minutes before taking the niacin”

Answer 5

“Try taking a small dose of ibuprofen (Advil) 30 minutes before taking the niacin”

Question 6

A patient asks, “What is considered the “good cholesterol?” How will the nurse answer?
Very low-density lipoprotein (VLDL)
LDL
HDL
Triglycerides

Answer 6

HDL

Question 7

The nurse is preparing to administer a newly ordered statin drug to a patient, and is reviewing the patient’s list of current medications. Which medication may cause an interaction with the statin drug? Select all that apply:
Warfarin (Coumadin)
Metformin (Glucophage)
Erythromycin (Erythrocin)
Cyclosporine (Gengraf)
Gemfibrozil (Lopid)

Answer 7

Warfarin (Coumadin)
Erythromycin (Erythrocin)
Cyclosporine (Gengraf)
Gemfibrozil (Lopid)