NUR 426 Dyslipidemia and shock prepu questions
The client receives a prescription for niacin. The nurse is providing education about the medication and possible adverse effects. Which adverse affect would the nurse include?
"Some people get very flushed skin when they take this medication."
What should the nurse teach an older adult client about the potential adverse effects of atorvastatin?
"The most common side effects of atorvastatin involve some mild gastrointestinal upset."
Which client is most likely to benefit from the administration of an adrenergic agonist?
A man who is in cardiogenic shock following a myocardial infarction
As part of a routine physical examination, a 60-year-old client's primary care provider has ordered blood work that includes cholesterol levels. What result would strongly suggest the need for an antihyperlipidemic drug?
Elevated LDL levels
You are caring for a patient in the ICU whose condition is deteriorating. You receive orders for dopamine, which is an intravenous vasoactive drug. What would be your priority assessment and interventions specific to the administration of vasoactive medications?
Frequent vitals, monitoring the central line site, and providing accurate drug titration
A patient with hyperlipidemia is prescribed ezetimibe. Which ongoing assessment should the nurse perform during treatment?
Frequently monitor blood cholesterol.
The 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?
HMG-CoA reductase inhibitors
The nurse is teaching a 45-year-old client about ways to lower cholesterol level. What effects of exercise does the nurse describe?
Increases high-density lipoproteins (HDLs) and decreases low-density lipoproteins (LDL)
A client with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be best determined?
Reviewing the client's laboratory blood work results
The nurse is serving a breakfast tray to the client receiving an alpha- and beta-adrenergic agonist medication. The nurse notifies dietary of a food preparation error with the client's diet when finding what on the tray?
coffee
An instructor is preparing a teaching plan for a group of students about adrenergic agonists. Which would the nurse include as an alpha- and beta-adrenergic agonist?
epinephrine
The client is diagnosed with hyperlipidemia and prescribed lovastatin. Which is the most common adverse effects of lovastatin?
headache and flatulence.
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
What factor determines the "preferred" density of the cholesterol?
higher amount of protein
Your 25-year-old patient presents to the ED status post-MVA with hypotension, tachycardia, diaphoresis, pallor, and oliguria. Reports from the accident site indicate significant blood loss from the vehicle's only occupant. What type of shock is your patient demonstrating?
hypovolemic
The nurse has completed a comprehensive assessment of a new client. What assessment findings would support a diagnosis of metabolic syndrome? Select all that apply.
waist measurement 107 cm (42 in) high-density lipoprotein (HDL) 1.29 mmol/L (50 mg/dL) blood pressure 148/93 mm Hg fasting blood glucose 7.2 mmol/L (121 mg/dL)
