Chapter 19-agents used to treat hyperlipidemia

Question 1

When evaluating a client for risk factors for the development of atherosclerosis, the nurse should be concerned about which of the following?

Answer 1

low-density lipoprotein 130 mg/dL

LDL level should be less than 100 mg/dL.

Question 2

The nurse should include which of the following when teaching a client prescribed cholestyramine?

Answer 2

Mix the drug with a liquid or soft food

Question 3

When teaching a client about the recommended serum cholesterol level for an adult, the nurse instructs the client to try to achieve:

Answer 3

cholesterol level of 170 mg/dL

Question 4

When teaching a client who is prescribed niacin to decrease triglyceride levels and raise HDL levels, the nurse should instruct the client that:

Answer 4

in high doses, niacin is very effective in decreasing triglyceride levels and raising HDL levels.

Question 5

When teaching the client about cholesterol, the nurse should instruct the client that the highest level of cholesterol is found in:

Answer 5

LDL. LDL contains the highest level of cholesterol.

Question 6

Colestipol HCl is MOST similar in action to:

Answer 6

cholestyramine.

Cholestyramine acts similarly to colestipol HCl.

Question 7

When evaluating a client for an end point for therapy with an HMG-CoA reductase inhibitor, the nurse monitors to detect when

Answer 7

transaminase levels rise and remain at three times the upper limit of normal.
This value is consistent with discontinuing HMG-CoA reductase inhibitor therapy.

Question 8

In addition to niacin, the client is on antihypertensive therapy. When caring for this client, the nurse should:

Answer 8

monitor the client for hypotension

Both medications cause peripheral

Question 9

In teaching a client about hyperlipidemia, the nurse should include that:

Answer 9

usually, drug therapy is used in conjunction with dietary modification.

Question 10

Which of the following medications, if prescribed to a pregnant woman, would the nurse question?

Answer 10

lovastatin-: HMG-CoA reductase inhibitors have a Pregnancy X rating because they can cause harm to the growing fetus.

Question 11

Which of the following should be included in client teaching for clients on lovastatin (Mevacor) therapy?

Answer 11

Liver function studies should be monitored.

Question 12

When teaching a client about atorvastatin, the nurse should include information about when to schedule follow-up visits with the health care provider for lab work. What should the nurse tell the client?

Answer 12

Liver function tests will need to be done every 4 to 6 weeks for the first 3 months.

Question 13

When teaching a client prescribed atorvastatin, the nurse should instruct the client that:

Answer 13

maximal effects occur by 4 to 6 weeks. Correct: HMG-CoA reductase inhibitors reach maximal effects by 4 to 6 week

Question 14

Clients taking antilipidemia agents should be taught:

Answer 14

to consume 2 to 3 liters of fluid per day.

Question 15

The client asks the nurse if he can still drink his six-pack of beer in the evening while taking simvastatin. The nurse’s best reply is:

Answer 15

“Alcohol can cause liver damage that may increase in simvastatin, but we can provide you with support to stop drinking.”

Question 16

When teaching a client who is prescribed an antilipidemia drug, the nurse should instruct the client:

Answer 16

“Compliance with therapy is crucial to success.”

Question 17

Research supports evidence that HMG-CoA inhibitors have anti-inflammatory and immunomodulatory effects that could reduce the risk of death from:

Answer 17

influenza

Question 18

The nurse recruit is correct when he or she makes which of the following statements concerning simvastatin?

Answer 18

“Adverse effects include nausea and vomiting.”

Question 19

The nurse knows the client receiving WelChol understands his instructions when he states which of the following?

Answer 19

“I need to report unusual bleeding or bruising.”

Question 20

Which of the following instructions are appropriate for a client receiving Colestid?

Answer 20

“You might experience dyspepsia as an adverse effect.”

Dyspepsia is an adverse effect of Colestid.

Question 21

Which of the following would NOT be monitored for clients receiving Lopid?

Answer 21

cardiac enzymes-Cardiac enzymes would not be monitored, unless there is another underlying condition requiring this.

Question 22

Which of the following would be monitored for the client receiving Vytorin?

Answer 22

glucose levels

Question 23

Lovaza should be used with caution by the client who is allergic to:

Answer 23

shellfish

Question 24

Exchange resins may produce a deficiency of which of the following?

Answer 24

tocopherol-Exchange resins may produce a deficiency of fat-soluble vitamins.
B Incorrect: Ascorbic acid is not a fat-soluble vitamin.

Question 25

The client is receiving simvastatin single daily dose therapy. The nurse should instruct the client to schedule the medication:

Answer 25

in the evening, because cholesterol is synthesized between midnight and 3 a.m.

Question 26

The nurse should monitor clients taking exchange resins for which of the following? Select all that apply.

Answer 26

a. fat-soluble vitamin deficiencies
c. epistaxis
d. bruising

Question 27

Which of the following statements are true concerning rosuvastin?

Answer 27

a. The medication inhibits the synthesis of cholesterol, resulting in reduced plasma concentration of LDL.
b. The medication causes reduction of total cholesterol.
c. There is a possible link between rosuvastatin and an increased risk of myopathy.
d. There is a possible link between rosuvastatin and an increased risk of rhabdomyolysis.
f. Liver function should be tested before beginning therapy and should be monitored during therapy.

Question 28

The client receiving Lovaza should be monitored for which of the following adverse effects? Select all that apply.

Answer 28

a. dyspepsia
c. dysphagia
d. change in sense of taste
e. increased risk of infection

Question 29

The client is receiving fluvastatin. Which of the following information is correct concerning this medication? Select all that apply

Answer 29

a. URI is an adverse effect.
b. Dysgeusia is an adverse effect.
c. Alcohol increased fluvastatin absorption.
e. The client should practice reliable contraception.

Question 30

Which of the following statements by a nurse recruit exhibits understanding of the medication Trilipix?

Answer 30

a. “Myalgia may be an adverse effect.”
b. “The medication can be taken without regard to food.”
d. “LFT must be monitored.”
e. “If Trilipix is used with warfarin, there is an increased risk of bleeding.”

Question 31

Which of the following statements by the client indicates the need for further teaching concerning the use of Niacor

Answer 31

b. “I should avoid alcohol use.”
c. “I may itch.”
d. “I need to take the tablet with cold water at bedtime.”
e. “I need to follow a prescribed diet.”
f. “I may experience nausea and vomiting.”