Olympics 7 Flashcards
(38 cards)
the nurse is assessing a patient who is being evaluated for hyperlipidemia. which assessment will most increase the risk of coronary artery disease CAD
Blood pressuree , 168/90 mm HG
an asian patient will begin taking rosuvastatin [crestor] to treat hypercholesterolemia what will the nurse include when teaching this patient about this medication
serum drug level must be monitored more frequently then with other patients
Lovastatin [Mevacor] is prescribed for a patient for the first time. The nurse should provide the patient with which instruction?
Take lovastatin with you evening meal
a patient is beginning therapy with oral methotrexate [ rheumatrex] for rheumatoid arthtis the nurse will teach this patient about the importance of
having routine renal and hepatic function test
While giving discharge instructions to a patient who will be taking cholestyramine [Questran], the nurse wants to assess the patient’s understanding of the treatment.
Which statement made by the patient best demonstrates a need for additional teaching?
I will weigh myself weekly
which is a possible benefit of taking fish oils supplements
reduced risk of dysthymia in patient after myocardial infarctions
A patient will begin taking atorvastatin [Lipitor] to treat elevated LDL levels. The patient asks the nurse what to do to minimize the risk of myositis associated with taking this drug. What will the nurse counsel this patient?
take vitamin d and co enzyme q supplements
A patient is being started on nicotinic acid [Niaspan] to reduce triglyceride levels. The nurse is providing patient education and should include teaching about which adverse effects? (Select all that apply.)
a. Itching
* b. Constipation
* c. Gastric upset
d. Hypoglycemia
e. Facial flushing
facial flushing , gastric upset , itching
the nurse is providing education to a patient who has recently been prescribed niacin which information given by the nurse is accurate
nausea can be decreased if you take this medication with food
a PT is prescribed oil acid resin . the nurse instructs the patient to report which adverse reaction related to vitamin K
Coffee ground emesis
what is the desired effect of any antilipemic therapy
reduced LDLs and total cholesterol
A nurse is reviewing a patient’s medications and realizes that gemfibrozil [Lopid] and warfarin [Coumadin] are to be administered concomitantly. Which effect will the nurse anticipate in this patient?
increased anti coagulant effects
the nurse is preparing medications for a patient . when is the best time for the nurse to administer lovastatin
during the patients dinner
why are stating or HMG COA reductase inhibitors , administered at bed time
cholesterol levels is at its peak
A nurse is reviewing the medications of a patient with diabetes before discharge. The nurse realizes that the patient will be going home on colesevelam, a bile-acid sequestrant, and insulin. What patient education should the nurse provide in the discharge teaching for this patient?
the patient needs to monitor the blood sugar carefully , because colesevelam can cause hypoglycemia
in addition to controlling hyperlipidemia , what are bile acid binding resins prescribed to treat
priutitus secondary to biliary stasis
A patient who is taking simvastatin [Zocor] develops an infection and the provider orders azithromycin [Zithromax] to treat the infection. The nurse should be concerned if the patient complains of:
muscle pain
A patient is taking a HMG Co reductase inhibitor and reports muscle aches, soreness, and weakness. The nurse suspects these symptoms to indicate early signs of myopathy.
When notifying the physician of these symptoms, the nurse will also be sure to report the results of the patient’s:
serum creating phosphokinase levels
inflammation is the result of tissue and blood vessel reaction to white blood cells . what are th symptoms associated with inflammation
pain , warmth , redness , swelling
A patient with a history of elevated triglycerides and LDL cholesterol begins taking nicotinic acid [Niacin]. The patient reports uncomfortable flushing of the face, neck, and ears when taking the drug. What will the nurse advise the patient?
you should take 325 mg of aspirin of a half hour before each dose of niacin to prevent this effect
a patient has been begun taking hmg - coa reductase inhibitor . which statement about this class of drugs made by the nurse during patient education would be inappropriate
you should come into the clinic for liver enzymes in 1 month
a nurse is providing discharge teaching instructions for a patient taking cholestyamine [questern] . which shows need for more teaching
I can take cholestyamine with my hydrochlorothiazide
which lipoprotein contributes to the development of atheroscleoris
LDLs
A patient is beginning a prescribed disease-modifying antirheumatic drug (DMARD) for the treatment of rheumatoid arthritis. The patient asks you how these drugs work to help this condition. What is your best response?
these drugs work by inhibitiing the inflammatory mediator tumor necrosis factor
