Pharmacology Ch 50 Online Questions (Exam 2)
Which discharge instructions should the nurse include for a patient prescribed cholestyramine [Questran]?
Mix the drug with water or juice.
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?
"Read food labels and reduce your intake of saturated fats."
Which are beneficial effects that can be derived from simvastatin [Zocor] and other drugs in this class? (Select all that apply.)
-Reduction of LDLs -Elevation of HDLs -Stabilization of the plaque in coronary arteries -Reduction of risk of cardiovascular events
The nurse is caring for a patient prescribed gemfibrozil [Lopid]. For which patient should the nurse question the use of this drug?
A patient with history of gallstones and elevated triglycerides
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?
Alanine aminotransferase (ALT)
Which drug is the most effective for lowering LDL cholesterol?
Atorvastatin [Lipitor]
The nurse is caring for a patient prescribed a cholesterol-lowering drug. Which drug is least likely to cause systemic side effects?
Colesevelam [Welchol]
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?
Muscle pain and tenderness
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.)
-"Do not start any new medications without first talking to your healthcare provider." -"Before starting this medication a blood test will be done to check your total cholesterol level and to measure liver enzymes." -"Lower the total fat and saturated fat in your diet by increasing your intake of fresh fruits and vegetables and whole grains."
The nurse understands that cholesterol is carried through the blood by lipoproteins. Which lipoprotein is most closely associated with coronary atherosclerosis?
Low-density lipoprotein (LDL)
