pharm chapter 34 Antihyperlipidemic

a client is taking cholestyramine 4 g by mouth once daily in the morning and is to begin taking glipizide 5 mg once daily for diabetes. which intervention would be appropriate for administering both drugs? select all that apply

- administer the glipizide in the evening - administer the glipizide 1 hour before the cholestyramine - administer the glipizide 4 hours after the cholestyramine

after teaching a group of student about drugs used to treat hyperlipidemia, the instructor determines that the teaching was successful when the students identify which of the following? select all that apply

- bile acid resins - fibric acid derivatives - HMG-CoA reductase inhibitors

a nurse is preparing a teaching plan for a client who is prescribed cholestyramine. which information would the nurse include as a possible adverse reaction associated with this drug? select all that apply

- constipation - abdominal cramping - bruising

a nurse suspects that a client receiving antihyperlipidemic therapy is experiencing rhabdomyolysis based on assessment of which symptoms? select all that apply

- malaise - unexplained muscle pain - fever

a nurse is caring for a client who has been prescribed cholestyramine powder for pruritus treatment, what instructions should the nurse include in the teaching plan for the client? select all that apply

- mix the drug in 2 to 6 fluid ounces of water - mix the drug with fluid soups or pulpy fruits - do not ingest the drug in the dry form

a client is diagnosed with hyperlipidemia and is to receive drug therapy as part of the treatment plan. when reviewing the clients laboratory test results, which findings would the nurse identify as supporting the client's diagnosis? select all that apply

- total cholesterol 250 mg/DL - LDL cholesterol 165 mg/dl

a client taking bile acid resins can become vitamin deficient in which of the following? select all that apply

- vitamin A - Vitamin D - Vitamin E

a nurse is conducting a presentation for a local community group about hyperlipidemia. when discussing the factors that individuals can work on to reduce their risk, which information would the nurse include? select all that apply

- weight - diet

As the client makes breakfast selections for tomorrow, which of the following items should the nurse recognize as a potential problem food?

Grapefruit Juice

Lovastatin is best taken

Once daily, preferably with the evening meal

a client taking niacin reports flushing after each dose of the niacin. which of the following drugs would the nurse expect to be prescribed to help alleviate the flushing?

aspirin

when assessing a client taking cholestyramine for vitamin K deficiency, the nurse would

check the client for bruising

a nurse is caring for a female client who breastfeeds her 3 month old infant. the client tells the nurse that she has been taking garlic to reduce serum cholesterol levels. the nurse informs the client that which adverse effects may occur?

colic in her infant

select the most common adverse reaction in a client taking a bile acid resin

constipation

Antihyperlipidemia drugs work to

decrease cholesterol and triglycerides

a nurse is preparing to administer a prescribed bile acid resin to a client with hyperlipidemia. the nurse understands that this class of drugs can decrease serum levels of several medications, primarily via which mechanism?

decreased gastrointestinal absorption

a nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. the nurse would assess the client for which findings as a possibility

flushing of the skin

the client asks the nurse about herbal products that can help to lower serum cholesterol and triglycerides. which herbal product would the nurse include in the response?

garlic

after reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding when they identify which medication as a fibric acid derivative (fibrate)?

gemfibrozil

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

which of the following blood elements has a protective property for heart disease?

high density lipoproteins

after teaching a client about prescribed statin therapy, the nurse determines that additional teaching is needed when the client makes which statement?

i can take the drug with grapefruit juice

which of the following points is important for the nurse to tell the client when teaching about drug and diet therapy for hyperlipidemia?

medication alone will not lower cholesterol

HMG-CoA Reductase Inhibitors (statins) are classified as which pregnancy category

pregnancy category x