Chapter 47-- lipid lowering

A client is receiving niacin as part of therapy for hyperlipoproteinemia. The nurse would explain that the lipid levels will usually begin to drop in approximately which amount of time? 3-5 5-7 7-14

5-7

Which substance would a group of students identify as being responsible for breaking up dietary fats into smaller units? Micelles Bile acids Chylomicrons

Bile acids

A patient is taking cholestyramine to reduce LDL cholesterol. Cholestyramine will cause a decrease in absorption of which medication? ibuprofen aspirin acetaminophen digoxin

Digoxin

Which would be classified as a bile acid sequestrant? Ezetimibe Cholestyramine Gemfibrozil

Ezetimibe

he pharmacology instructor is discussing medications used in the treatment of dyslipidemia. Which drug class would the instructor identify as the most widely used dyslipidemia drugs? Fibrates HMG-CoA reductase inhibitors

HMG-CoA reductase inhibitors

A nurse is providing care to a client who has elevated levels of low-density lipoprotein (LDL). A review of the client's history reveals a sedentary lifestyle and a history of being overweight. The nurse understands that this combination of factors places the client at risk for which condition? Heart disease Diabetes Hypertension

Heart disease

A client is taking cholestyramine (Questran) and ezetimibe (Zetia). What administration guideline is most important for the nurse to teach this client? The cholestyramine (Questran) is administered one hour before ezetimibe. The administration of ezetimibe (Zetia) is four hours after cholestyramine.

The administration of ezetimibe (Zetia) is four hours after cholestyramine.

After teaching a group of students about metabolic syndrome, the instructor determines that the teaching was successful when the students identify which characteristic? Waist larger than 40 cm Triglyceride level above 150 mg/dL fasting blood glucose levels less than 110 mg/dL

Triglyceride level above 150 mg/dL

True or False: A patient with metabolic syndrome usually has increased plasminogen activator levels.

True

A client who has been taking a statin has seen an improvement in his cholesterol laboratory values; however, the low-density lipoprotein remains elevated. What medication will be added to the medical regime? Digoxin Vitamin D Calcium carbonate cholestyramine

cholestyramine

A nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. The nurse would assess the client for which findings as a possibility? Tachycardia Flushing of skin weakness dyspnea

flushing of skin

The client is diagnosed with hyperlipidemia and prescribed lovastatin. Which is the most common adverse effects of lovastatin? fatigue and mental disorientation headache and flatulence

headache and flatulence

A client has been prescribed lovastatin for high cholesterol. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels in which manner? inhibits cholesterol syntheses they are fabric acid derivatives destroy bile salts

inhibits cholesterol syntheses

A 37-year-old woman with moderately elevated lipid levels requests immediate pharmacotherapy for her dyslipidemia. The nurse explains that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered. The nurse explains the rationale for this regimen as: Therapeutic lifestyle changes are the preferred method for lowering blood lipids. Pharmacological methods are only effective with lifestyle changes

Therapeutic lifestyle changes are the preferred method for lowering blood lipids.