Ch 50
Which discharge instructions should the nurse include for a patient prescribed cholestyramine [Questran]? A Mix the drug with water or juice. B Take with all other morning medications. C Take 325 mg of aspirin 30 minutes before each dose. D Notify the healthcare provider if upper abdominal discomfort occurs.
A
Which drug is the most effective for lowering LDL cholesterol? A Atorvastatin [Lipitor] B Cholestyramine [Questran] C Gemfibrozil [Lopid] D Ezetimibe [Zetia]
A
Which are beneficial effects that can be derived from simvastatin [Zocor] and other drugs in this class? (Select all that apply.) A Reduction of LDLs Correct B Elevation of HDLs Correct C Stabilization of the plaque in coronary arteries Correct D Reduction of risk of cardiovascular events Correct E Improvement of liver function
ABCD
The healthcare provider prescribes lovastatin [Mevacor] for a patient discharged from the hospital post-myocardial infarction. Which instructions are most appropriate for the nurse to include in the patient's teaching plan? (Select all that apply.) A "Do not start any new medications without first talking to your healthcare provider." B "Before starting this medication a blood test will be done to check your total cholesterol level and to measure liver enzymes." C "Take your medication in the morning, with a full glass of water for best results." D "Take one 325-mg aspirin 30 minutes before your dose to lessen the problem of flushing and itching that can occur with this drug." E "Lower the total fat and saturated fat in your diet by increasing your intake of fresh fruits and vegetables and whole grains."
ABE
The nurse is caring for a patient prescribed a cholesterol-lowering drug. Which drug is least likely to cause systemic side effects? A Simvastatin [Zocor] B Colesevelam [Welchol] C Nicotinic acid [Niaspan] D Gemfibrozil [Lopid]
B
A patient with an elevated triglyceride level is prescribed a sustained-release form of nicotinic acid [Slo-Niacin]. Which laboratory value is most important for the nurse to monitor for in this patient? A Blood urea nitrogen (BUN) B Complete blood count (CBC) C Alanine aminotransferase (ALT) D Creatine kinase (CK)
C
The nurse is teaching a group of patients about dietary approaches to reduce cholesterol levels. Which statement is most important to include in the teaching? A "Lower your cholesterol to 300 mg/day." B "Eliminate red meat and pork from your diet." C "Read food labels and reduce your intake of saturated fats." D "Reduce salt consumption to keep your sodium intake to 2400 mg/day."
C
The nurse understands that cholesterol is carried through the blood by lipoproteins. Which lipoprotein is most closely associated with coronary atherosclerosis? A Very-low-density lipoprotein (VLDL) B Apolipoprotein B-100 C Low-density lipoprotein (LDL) D High-density lipoprotein (HDL)
C
A patient with cardiovascular disease is taking rosuvastatin [Crestor]. The nurse is monitoring for potential adverse effects. Which finding indicates a potential adverse effect of this drug? A Blood pressure of 140/90 mm Hg B Wheezing and shortness of breath C Platelet count of 100 × 103/mm3 D Muscle pain and tenderness
D
The nurse is caring for a patient prescribed gemfibrozil [Lopid]. For which patient should the nurse question the use of this drug? A A patient with cardiovascular disease and elevated triglycerides B A patient with elevated very-low-density lipoprotein (VLDL) levels C A patient with elevated triglycerides who has not responded to dietary changes D A patient with history of gallstones and elevated triglycerides
D
