Antilipid Meds: Chapter 50
A patient is prescribed Lovaza and simvastatin for hyperlipidemia. The nurse is looking at the patient's medication history and expresses concern over which medication? 1 Aspirin 2 Lisinopril 3 Procardia 4 Levothyroxine
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A patient receiving atorvastatin [Lipitor] therapy to reduce high cholesterol levels calls the clinic and reports, "I am experiencing severe pain in both my legs." What is the nurse's best response? 1 "Stop taking the drug and visit the clinic immediately." 2 "Continue taking the drug; leg pain is a common side effect." 3 "Stop taking the drug if the symptoms persist for another week." 4 "Continue taking the drug along with niacin [Niaspan] and a pain killer."
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A patient with cardiovascular disease is taking rosuvastatin [Crestor]. Which finding would indicate a potential adverse effect of this drug? 1 Muscle pain and tenderness 2 Platelet count of 100 × 103/mm3 3 Blood pressure of 140/90 mm Hg 4 Wheezing and shortness of breath
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A patient with hyperlipidemia has been prescribed simvastatin [Zocor]. While caring for the patient, the nurse unknowingly administers niacin [Nicobid] along with simvastatin [Zocor]. Which complication may the patient have due to the drugs' interaction? 1 Myopathy 2 Blurred vision 3 Bowel obstruction 4 Hepatic dysfunction
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Laboratory reports indicate that a patient's serum cholesterol concentration is 250 mg/dL and triglyceride levels are 450 mg/dL. The healthcare provider prescribes gemfibrozil [Lopid] to lower cholesterol levels. What is the desired effect of the drug on the patient's lipoprotein levels? 1 There would be a decrease in low-density lipoprotein (LDL) levels. 2 There would be an increase in low-density lipoprotein (LDL) levels. 3 There would be a decrease in high-density lipoprotein (HDL) levels. 4 There would be an increase in very-low-density lipoprotein (VLDL) levels.
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The nurse is caring for a patient who has coronary heart disease (CHD). The nurse tells the patient, "Your cholesterol levels are abnormal; you are at a high risk of having a heart attack." What did the nurse discover regarding the lipoprotein levels in the patient's blood report? 1 High levels of low-density lipoproteins (LDL) 2 High levels of high-density lipoproteins (HDL) 3 Low levels of very-low-density lipoproteins (VLDL) 4 Low levels of intermediate-density lipoproteins (IDL)
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When teaching the nursing student about coronary heart disease, which statement will the nurse include in the session? 1 "Coronary heart disease occurs due to the formation of atherosclerotic plaques." 2 "Coronary heart disease cannot be prevented by changing lifestyle modifications." 3 "Coronary heart disease is due to decreases in the cholesterol levels to below 200 mg/dL." 4 "Coronary heart disease is nonlethal and cannot be prevented by antilipemic medications."
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Which discharge instructions should the nurse include for a patient prescribed cholestyramine? 1 "Mix the drug with water or juice." 2 "Take with all other morning medications." 3 "Take 325 mg of aspirin 30 minutes before each dose." 4 "Notify the healthcare provider if upper abdominal discomfort occurs."
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The nurse is assessing a patient who has been prescribed cholestyramine [Questran]. The nurse finds that the patient has decreased peristalsis and bloating. Which intervention should the nurse perform to relieve the symptoms? Select all that apply. A Provide a diet rich in fiber. B Check the patient's weight. C Increase the intake of fluid. D Include milk in the patient's diet. E Monitor the patient's blood pressure.
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The nurse is assessing a patient who has been prescribed atorvastatin [Lipitor]. What instruction should the nurse provide for the patient to ensure proper administration of the medication? 1 "Take the drug after breakfast." 2 "Take the drug in the evening." 3 "Take the drug with an antacid." 4 "Take the drug on an empty stomach."
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The nurse is assessing a patient with diabetes who has hyperlipidemia. The patient asks the nurse to suggest either an herbal medication or a dietary modification to reduce cholesterol levels. Which suggestion given by the nurse would be most beneficial to the patient? 1 "Include flax seeds in your food." 2 "Eat foods rich in omega-3 fatty acids." 3 "Consume excessive amounts of garlic." 4 "Take 20 mg of St. John's wort regularly."
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The nurse is caring for a patient who has hyperlipidemia and who has been prescribed gemfibrozil [Lopid]. On reviewing the medical history of the patient, the nurse learns that the patient is taking warfarin [Coumadin]. What does the nurse anticipate after reviewing the patient's medical history? 1 The patient has an increased risk of infection. 2 The patient has an increased risk of bleeding. 3 The patient has an increased risk of vitamin K toxicity. 4 The patient has an increased risk of bowel obstruction.
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The nurse understands that cholesterol is carried through the blood by lipoproteins. Which lipoprotein is most closely associated with coronary atherosclerosis? 1 Apolipoprotein B-100 2 Low-density lipoprotein (LDL) 3 High-density lipoprotein (HDL) 4 Very-low-density lipoprotein (VLDL)
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Which nursing intervention will decrease the flushing reaction of niacin? 1 Administering niacin with an antacid 2 Administering aspirin 30 minutes before niacin 3 Applying cold compresses to the head and neck 4 Administering diphenhydramine hydrochloride [Benadryl] with niacin
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A patient comes to the clinic and is diagnosed with gouty arthritis. When the nurse looks over the patient's medication list, what medication could have caused this adverse effect? 1 Ezetimibe [Zetia] 2 Gemfibrozil [Lopid] 3 Niacin (nicotinic acid) 4 Colesevelam [Welchol]
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A patient diagnosed with hypercholesterolemia is prescribed lovastatin [Mevacor]. Based on this medication order, the nurse will contact the healthcare provider about which reported condition in the patient's history? 1 Leukemia 2 Renal disease 3 Hepatic disease 4 Chronic pulmonary disease
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A patient with dyslipidemia has been prescribed atorvastatin [Lipitor]. After a few days, the patient reports to the nurse that her pregnancy test is positive and that she has severe constipation. What medication does the nurse expect the provider to order for the patient? 1 Ezetimibe [Zetia] 2 Simvastatin [Zocor] 3 Niacin (nicotinic acid) 4 Cholestyramine [Questran]
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A patient with hypercholesterolemia is prescribed lovastatin [Mevacor]. After reviewing the patient's medical history, the nurse discovers that the medication is not safe to prescribe for the patient and reports this finding to the healthcare provider. What did the nurse find in the patient's medical history? 1 The patient has leukemia. 2 The patient has renal disease. 3 The patient has hepatic disease. 4 The patient has chronic pulmonary disease.
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The nurse is caring for a patient who has hypercholesterolemia and newly prescribed atorvastatin [Lipitor]. Which instruction will the nurse receive from the primary healthcare provider for the safe administration of the medication? 1 "Administer 2 mg of atorvastatin [Lipitor] orally." 2 "Administer 20 mg of atorvastatin [Lipitor] orally." 3 "Administer 10 mg of atorvastatin [Lipitor] orally." 4 "Administer 40 mg of atorvastatin [Lipitor] orally."
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The nurse is caring for a patient with hypercholesterolemia who is taking 20 mg of simvastatin [Zocor] as prescribed. After a few days, the patient's urinalysis reports indicated the presence of myoglobin. What instruction would the nurse receive from the primary healthcare provider? 1 "Give 10 mg of medication daily." 2 "Give the medication before meals." 3 "Discontinue administering the medication." 4 "Give the medication with 250 mL of water."
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Which drug is approved for hyperlipidemia and to help control hyperglycemia in patients with type 2 diabetes? 1 Ezetimibe [Zetia] 2 Niacin (nicotinic acid) 3 Colesevelam [Welchol] 4 Cholestyramine [Questran]
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Which drug is the most effective for lowering low-density lipoprotein (LDL) cholesterol? 1 Gemfibrozil 2 Ezetimibe [Zetia] 3 Atorvastatin [Lipitor] 4 Cholestyramine [Questran]
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Which statement indicates the patient understands discharge instructions regarding cholestyramine [Questran]? 1 "I will weigh myself weekly." 2 "I will have my blood pressure checked weekly." 3 "I will take Questran with water, fruit juice, or soup." 4 "I will take Questran 1 hour before my other medications."
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Which statement made by the patient indicates to the nurse that understanding of the discharge instructions on antihyperlipidemic medications has occurred? 1 "I will stop taking the medication if it causes nausea and vomiting." 2 "It is important to double my dose if I miss one in order to maintain therapeutic blood levels." 3 "I will continue to modify my diet and keep exercising to help increase my high-density lipoprotein serum levels." 4 "Antihyperlipidemic medications will replace the other interventions I have been doing to try to decrease my cholesterol."
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The nurse is teaching a medication regimen to a patient who has type II hyperlipoproteinemia and who has been prescribed cholestyramine [Questran]. Of what will the nurse inform the patient during the teaching? 1 Include milk in the diet while taking this medication. 2 Avoid taking vitamin A supplements while taking the medication. 3 Avoid doing deep breathing exercises after taking the medication. 4 Take other medications 1 hour before or 4 hours after the administration of cholestyramine.
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