Chap 27: Antilipemic Drugs Questions

A client complains to the nurse that he flushes after taking niacin. Which of the following can decrease this side effect? A. Taking aspirin before taking med B. Taking the med while lying down C. Taking the med with a full glass of water D. Eating bread or crackers before taking med

A

A patient who has started taking niacin complains that he hates side effects. Which statement by nurse is most appropriate? A. Try taking a small dose of ibuprofen 30 minutes before taking drug B. You can take drug every other day if side effects are bothersome C. You will soon buildup tolerance to these side effects D. You will need to take drug on empty stomach

A

Which point will the nurse emphasize to patient who is taking antilipemic med in statin class? A. Important to report muscle pain immediately B. Improved cholesterol levels will be evident within 2 weeks C. Low fat diet isn't necessary while taking these meds D. Drug must be taken on empty stomach before meals

A

A nurse is administering cholestyramine, bile acid sequestrant. Which nursing intervention is appropriate? Select all that apply A. Increase fluid intake B. Instruct patient to take a fiber supplement while taking drug C. Not administering drug at same time as other drugs D. Administering drug on empty stomach E. Instructing patient to follow a low fiber diet while taking drug

A, B, C

A patient has been taking simvastatin for 6 months. Today he received a call that he needs to come to office for a lab check. Nurse expects which lab studies to be ordered at this time? Select all that apply. A. Liver function studies B. CBC C. AST D. PT / INR E. Triglycerides

A, C, E

A patient will be taking niacin as part of antilipemic therapy. What is the best way to avoid problems with flushing or pruritus? A. Take the med with a full glass of water on an empty stomach B. Start with a low initial dose and then increase it gradually C. Take the med with a small dose of a steroid D. Take the med at bedtime

B

Patients taking cholestyramine may experience which adverse effects? A. Diarrhea and abdominal cramps B. Belching and bloating C. Drowsiness and difficulty concentration D. Blurred vision and photophobia

B

A patient has back for a follow up visit after 3 months on atorvastatin. He tells the nurse that he has had muscle pain but he thinks he has pulled a muscle from starting tennis lessons. The nurse is reviewing his chart and lab work. Which of the following assessment findings require immediate follow up? Select all that apply A. Increasing HDL levels B. Muscle soreness C. Blood pressure 138 / 92 D. Change in urine color E. Elevated liver enzymes

B, D, E

In administering niacin, the nurse must monitor for which adverse effects? Select all that apply A. Constipation B. GI upset C. Muscle pain D. Flushing of skin E. Pruritus

B, D, E

A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching? A. Maintain a steady intake of green leafy vegetables B. Consume no more than 1 liter of fluid C. Take this med in the evening D. Change position slowly when when rising from a chair

C

In reviewing the history of a newly admitted cardiac patient, the nurse knows that the patient would have a contraindication to which condition when taking cholestyramine? A. Diabetes mellitus B. Coronary artery disease C. Phenylketonuria D. Renal disease

C

Patient taking a statin calls office to report increase in muscle pain. Which information takes priority as nurse communicates with patient? A. Expected occurrence, continue dose as prescribed B. Did you pull a muscle or injure yourself C. This could be sign of serious side effect; stop taking med immediately D. Should take a dose of ibuprofen for next few days

C

A client has a new order for simvastin. Which of the following should be included on the patient's teaching plan? A. Report to the physician if you have a significant change in appetite B. Report to the physician if you experience lower abdominal pain C. Report to the physician if you want to curse somebody out D. Report to the physician if your urine becomes dark E. Report to the physician if you develop severe headaches

D

A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse effect of this med? A. Pneumonia B. Mental status change C. Tremor D. Prolonged prothrombin time

D

A patient is currently taking a statin. The nurse considers that the patient may have a higher risk for developing rhabdomyolysis when also taking which product? A. Fat soluble vitamins B. NSAID C. Fibric acid derivative D. Grapefruit juice

D

The nurse is preparing to administer a newly ordered statin drug to a patient and is reviewing patients list of current meds. Which meds may cause interaction with statin drug? A. Gemfibrozil B. Cyclosporine C. Warfarin D. Grapefruit E. Metformin

D

A patient is being assess before a newly ordered antilipemic med is started. Which condition would be a potential contraindication ? A. Myocardial infarction B. Diabetes insipidus C. Asthma D. Pulmonary fibrosis E. Liver cirrhosis

E

Which of the following are toxicity signs that you need to report asap when taking HMG - CoA Reductase Inhibitors drugs? A. Headache B. Diarrhea C. Anorexia D. Weight changes E. Rhabdomyolysis

E