Olympics 7

Question 1

the nurse is assessing a patient who is being evaluated for hyperlipidemia. which assessment will most increase the risk of coronary artery disease CAD

Answer 1

Blood pressuree , 168/90 mm HG

Question 2

an asian patient will begin taking rosuvastatin [crestor] to treat hypercholesterolemia what will the nurse include when teaching this patient about this medication

Answer 2

serum drug level must be monitored more frequently then with other patients

Question 3

Lovastatin [Mevacor] is prescribed for a patient for the first time. The nurse should provide the patient with which instruction?

Answer 3

Take lovastatin with you evening meal

Question 4

a patient is beginning therapy with oral methotrexate [ rheumatrex] for rheumatoid arthtis the nurse will teach this patient about the importance of

Answer 4

having routine renal and hepatic function test

Question 5

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?

Answer 5

I will weigh myself weekly

Question 6

which is a possible benefit of taking fish oils supplements

Answer 6

reduced risk of dysthymia in patient after myocardial infarctions

Question 7

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?

Answer 7

take vitamin d and co enzyme q supplements

Question 8

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

Answer 8

facial flushing , gastric upset , itching

Question 9

the nurse is providing education to a patient who has recently been prescribed niacin which information given by the nurse is accurate

Answer 9

nausea can be decreased if you take this medication with food

Question 10

a PT is prescribed oil acid resin . the nurse instructs the patient to report which adverse reaction related to vitamin K

Answer 10

Coffee ground emesis

Question 10

what is the desired effect of any antilipemic therapy

Answer 10

reduced LDLs and total cholesterol

Question 10

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?

Answer 10

increased anti coagulant effects

Question 11

the nurse is preparing medications for a patient . when is the best time for the nurse to administer lovastatin

Answer 11

during the patients dinner

Question 11

why are stating or HMG COA reductase inhibitors , administered at bed time

Answer 11

cholesterol levels is at its peak

Question 12

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?

Answer 12

the patient needs to monitor the blood sugar carefully , because colesevelam can cause hypoglycemia

Question 13

in addition to controlling hyperlipidemia , what are bile acid binding resins prescribed to treat

Answer 13

priutitus secondary to biliary stasis

Question 14

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:

Answer 14

muscle pain

Question 15

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:

Answer 15

serum creating phosphokinase levels

Question 15

inflammation is the result of tissue and blood vessel reaction to white blood cells . what are th symptoms associated with inflammation

Answer 15

pain , warmth , redness , swelling

Question 16

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?

Answer 16

you should take 325 mg of aspirin of a half hour before each dose of niacin to prevent this effect

Question 17

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

Answer 17

you should come into the clinic for liver enzymes in 1 month

Question 18

a nurse is providing discharge teaching instructions for a patient taking cholestyamine [questern] . which shows need for more teaching

Answer 18

I can take cholestyamine with my hydrochlorothiazide

Question 19

which lipoprotein contributes to the development of atheroscleoris

Answer 19

LDLs

Question 20

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?

Answer 20

these drugs work by inhibitiing the inflammatory mediator tumor necrosis factor

Question 21

A nurse is providing patient education about colesevelam [Welchol], a bile-acid sequestrant. Which statement made by the patient demonstrates a need for further teaching?

Answer 21

I will need to take supplements of fat soluble vitamins

Question 21

A patient taking gemfibrozil [Lopid] and rosuvastatin [Crestor] concurrently begins to

Answer 21

the patients creating kinase levels

Question 22

which vitamin had antilipelmic actions

Answer 22

b3

Question 23

the nurse is teaching a patient a bout statin therapy . which statement by the patient indiactes a need for further teaching

Answer 23

if I get headache , I will notify my health care provider

Question 23

A patient who has been diagnosed with rheumatoid arthritis (RA) for 1 month and has generalized symptoms is taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) and an oral glucocorticoid. The provider has ordered methotrexate [Rheumatre×]. The patient asks the nurse why methotrexate is necessary since pain and swelling have been well controlled with the other medications. The nurse will tell the patient that:

Answer 23

starting methotrexate early can help delay joint degenartion

Question 24

The nurse has completed an admitting patient history and notes the patient’s current medications to be simvastatin (Zocor) and warfarin (Coumadin). What is the result of the interaction of these drugs?

Answer 24

increased INR

Question 24

A patient with rheumatoid arthritis is taking leflunomide [Arava] and an oral contraceptive.
She tells the nurse she would like to get pregnant. What will the nurse tell her?

Answer 24

to ask her provider about an 11 day course of cholestyramine

Question 25

which deficany may develop in. patient taking cholestyramine

Answer 25

vitamin k deficiency

Question 25

A postmenopausal woman will begin taking atorvastatin [Lipitor] to treat hypercholesterolemia. The woman reports a history of osteopenia with a family risk of osteoporosis. What will the nurse include when teaching this patient?

Answer 25

the need to discuss taking a bisphospharte medication with her provider

Question 26

A patient will begin taking hydroxychloroquine [Plaquenill for rheumatoid arthritis. The patient is currently taking high-dose NSAIDs and methotrexate. What will the nurse teach the patient?

Answer 26

that an eye exam is necessary the begginen of therapy with this drug

Question 27

A patient who recently started therapy with an HMG-COA reductase inhibitor asks the nurse, “How long will it take until I see an effect on my LDL cholesterol?” The nurse gives which correct answer?

Answer 27

a reduction usually is seen within 2 weeks

Question 28

which plasma lipoprotein level is most concerning when considering the risk of coronary athersclorsis

Answer 28

elevated density lipoprotein

Question 29

which antilipemic agent is most potent

Answer 29

hmm coa reductase inhibitor