Antihyperlipidemics
A 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? A. Garlic B.Ginseng C.Feverfew D. Black cohosh
A.
After reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding when they identify which medication as a Bile Acid Sequestrants A.Colesevelam B.Gemfibrozil C.Ezetimibe D.Niacin
A.
Anti-lipemics are indicated for which of the following ? . A. Hyper Lipidema B. HF C. Arrhythmia D. DVT
A.
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? A. consists of a fibric acid derivative. B.inhibits cholesterol syntheses. C. is a hormone. D. is a bile-acid resin.
B
A client will begin taking atorvastatin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of: A.pruritus (itching) B.muscle pain. C.dry mouth. D. increased thirst.
B
A client will begin taking niacin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of: A.dry mouth. B.pruritus (itching) C.increased thirst. D.muscle pain.
B
An elderly client with dyslipidemia has had fenofibrate added to the existing medication regimen. In addition to having the lipid profile drawn on a regular basis, the nurse should educate the client about the need for what ongoing laboratory testing during therapy? A.Complete blood count (CBC) B..Liver panel C.INR and aPTT D. Reticulocyte count
B
A client asks the nurse what the atorvastatin (Lipitor) prescribed for the client will do. What is an expected outcome for this client? A.Decrease in serum cholesterol only B.Decrease in serum cholesterol and LDL levels C.Decrease in sitosterol and serum cholesterol D. Decrease in campesterol and LDL levels
B.Decrease in serum cholesterol and LDL levels
A client will begin taking niacin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of: A.dry mouth. B..increased thirst. C.Tingling D.muscle pain.
C
A nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. The nurse would assess the client for which findings as a possibility? A.Weakness B.Dyspnea C.Flushing of the skin D. Tachycardia
C
How often should cholesterol be assessed when on antihyperlipedmias A. q 1-2 months B. q year C. q 3-6 D. Every month
C
The nurse is providing medication teaching to a client who will begin taking niacin with a bile acid sequestrant. How should the nurse instruct the client to take these two medications? A."One medication should be taken in the morning and the other at bedtime." "B.Both medications should be taken in the morning." C."The medications should be taken 4 to 6 hours apart in the evening." D. "Both medications can be taken together just before going to bed."
C
What Labs should be monitored when taking Antihyperlipedmic Drugs A. CBC B. LFT C. LFT and Cholesterol D. Cholesterol
C
What type of drug is Cholestyramine? A.Cholesterol absorption inhibitors B.-Statins C.Bile acid sequestrants D. HMG-COA inhibitor
C
7. Your patient is prescribed Lovastatin due to their risk factors for developing cardiac disease. You're providing education about the importance of continuing exercise and a healthy diet while taking this medication. You are helping the patient create a weekly food plan. Which food item below should the patient avoid including in the food plan while taking this medication?* A. Bananas B. Spinach C. Grapefruit D. Aged-cheese
C.
Which drug classes decrease hepatic triglyceride synthesis ( Select all that apply) A. HMG -COA reducatase B. Bile Acid Resin C. Fibric Acid Derivative D. Cholesterol Absorption Inhibitors E. Nicotinic Acid Derivatives
C. Fibric Acid Derivative
1. A patient is prescribed Pravastatin. This medication is known as a ______________________? A. Fibric Acid Derivative B. Bile-acid Sequestrant C. HMG-CoA Reductase Inhibitor D. Cholesterol Absorption Inhibitor
C: HMG-CoA Reductase Inhibitor. Pravastatin is a STATIN medication which is part of the HMG-CoA Reductase Inhibitor family.
A common side effect with cholestyramine is A.flushing B.diarrhea C.liver toxcicity D. constipation
D
7. The medication order reads: niacin, 500 mg PO, every evening. The medication is available in 250-mg tablets. How many tablets will the patient receive per dose?
2 tablets
The client is to begin taking atorvastatin (Lipitor) and the nurse is providing education about the drug. Which symptom related to this drug should be reported to the health care provider? 1. Constipation 2. Increasing muscle or joint pain 3. Hemorrhoids 4. Flushing or "hot flash"
2. Increasing muscle or joint pain
The nurse is instructing a client on home use of niacin and will include important instructions on how to take the drug and about its possible adverse effects. Which of the following may be expected adverse effects of this drug? (Select all that apply.) 1. Fever and chills 2. Intense flushing and hot flashes 3. Tingling of the fingers and toes 4. Hypoglycemia 5. Dry mucous membranes
2. Intense flushing and hot flashes 3. Tingling of the fingers and toes
A client has been on long-term therapy with colestipol (Colestid). To prevent adverse effects related to the length of therapy and lack of nutrients, which of the following supplements may be required? (Select all that apply.) 1. Sodium 2. Vitamins A, D, E, and K 3. Potassium, iodine, and chloride 4. Protein 5. B vitamins
2. Vitamins A, D, E, and K
The three major classes of drugs used to control blood lipids are statins, bile acid resins (or sequestrants), and fibrates. Which is a fibrate? A.Fenofribrate B.Colestipol C.Cholestyramine D. Colesevelam
A
What type of drug is Ezetimibe ? A.Cholesterol absorption inhibitors B.-Statins C.Bile acid sequestrants D. HMG-COA inhibitor
A
Your patient is taking Simvastatin. Which of the following findings below demonstrate this medication is providing therapeutic effects to this patient? Select-all-that-apply: A. HDL 80 mg/dL B. LDL 72 mg/dL C. HDL 30 mg/dL D. LDL 190 mg/dL
A and B. Statins should lower LDL (the bad cholesterol.....approximate normal range <100) and increase HDL (the good cholesterol.... approximate normal range >60).
Niacin is prescribed to a client to increase HDL levels. What are the most common adverse effects of this therapy? Select all that apply. A.Flushing of the face B.Nausea C.Headache D. Diarrhea E.Vomiting
A,B.E
. A nurse is giving instruction to a client who is receiving Cholestyramine (Questran) for the treatment of hyperlipidemia. Which of the following statements made by the client indicates the need for further instructions? A. This medication comes in a powder that must be mixed with juice or water before administration". B.I will avoid eating foods rich in saturated fats". C.I will continue taking nicotinic acid as part of the treatment". D."Constipation. belching and heartburn are some of the side effects".
A.
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? A."Some people get very flushed skin when they take this medication." B."It's important to avoid eating shellfish and to tell your care provider before having any diagnostic imaging tests." C."Sometimes this causes a full body rash when you first take it, but that doesn't necessarily mean you're allergic to it." D."You're likely to have some nausea when you begin taking the drug, but this will dissipate with time."
A.
Which would be an example of HMG COA reductase ? A. Atorvanstatin B. Losartan C. Cholysteramine D. Niacin
A.
A client who is receiving cholestyramine also takes digoxin. The nurse teaches the client about the drug and administration. The client demonstrates understanding of the teaching when stating: A."I will take the digoxin about an hour before the cholestyramine." B."I need to take both drugs at the same time of the day." C."I'll take the cholestyramine at 8 AM and the digoxin at 9 AM." D. "I'll take the digoxin about 15 minutes before the cholestyramine."
A."I will take the digoxin about an hour before the cholestyramine."
how long until can you repeat sublingual nitroglycerin if no relief A.5 minutes B.1 minute C.3 minutes D.10 minutes
A.5 minutes
Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are generally administered at which time of day? a. Evening b. 12:00 noon c. Afternoon d. Morning
A.Evening
After reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding when they identify which medication as a HMG-COA reductase A.Colesevelam B.Atorvastatin C.Ezetimibe D.Niacin
B.
After reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding when they identify which medication as a fibric acid derivative (fibrate)? A.Colesevelam B.Gemfibrozil C.Ezetimibe D.Niacin
B.
An adverse effect of Cholestyramine is a deficiency in which vitamins? A. C, Thiamine B.A, D C. K, B12 D. Niacin, E
B.
The healthcare provider is planning to discontinue a patient's beta blocker. Which instruction will the nurse give the patient regarding the beta blocker? A. the beta blocker should be abruptly stopped when another cardiac drug is prescribed. B. The beta blocker should not be abruptly stopped; the dose should be tapered down. C. The beta blocker dose should be maintained while taking another antianginal drug. D. Half the beta blocker dose should be taken for the next several weeks.
B.
The nurse will monitor for myopathy (muscle pain) when a patient is taking which class of antilipemic drugs? a. Niacin b. HMG-CoA reductase inhibitors c. Fibric acid derivatives d. Bile acid sequestrants
B.
This class of drug interferes with the synthesis (production) of cholesterol A. Bile Resins B. HMGCOA Reductase C. Fibric Acid Derivatives D. Nicotinic Derivatives
B. HMGCOA Reductase
The nurse is preparing a client for discharge who will receive a prescription for a hydroxymethylglutaryl-coenzyme A (HMG-CoA) inhibitor. What statement by the client demonstrates a clear understanding of the teaching provided by the nurse? A."After I start taking this drug, I can scale back the exercise routine the primary health care provider prescribed." B."I will not need to follow a low-fat diet anymore because this drug will take care of my lipids." C."I should plan to take this drug before bedtime, because my body makes lipids mostly at night." D."I should take this drug first thing in the morning and make sure I drink a full glass of water."
C
The client has been taking rosuvastatin for hyperlipidemia. The client now presents with severe weakness and states barely being able to move the extremities. The nurse suspects the client has which? A.cholelithiasis. B.cholecystitis. C.rhabdomyolysis. D.pruritis.
C.
Which statement would best describe the MOA of HMG -COA reductase ? A. " Form a complex with bile B. decrease hepatic triglyceride synthesis C. interfere with the synthesis of cholesterol D. All of the above
C.
A client will begin taking atorvastatin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of: A.dry mouth. B.pruritus (itching) C.increased thirst. D.muscle pain.
D
The nurse is providing education to an older adult client who has been prescribed atorvastatin. How should the nurse describe the common adverse effects of the drug? A."Some clients experience mild chest pain initially." B."Most people who experience side effects from atorvastatin report stiffness in their joints." C."The more serious side effects of atorvastatin involve a risk of bleeding." D. "The most common side effects of atorvastatin include some mild gastrointestinal upset."
D
What type of drug is Genfibrozil ? A.Cholesterol absorption inhibitors B.-Statins C.Bile acid sequestrants D. Fibric Acid Derivative
D
HMG COA reductase end in A. -pril B. -olol C. -one D. statin
D .
Anti-lipemics are indicated for which of the following ? . A. Stroke B. HF C. Arrhythmia D. to prevent CAD and CVD
D.
The patient is taking atorvastatin. Which serum level is most important for the nurse to monitor? A. Blood urea nitrogen B. Complete blood count C. Cardiac enzymes D. Hepatic enzymes
D. Hepatic enzymes
Which statement below accurately describes how statin medications work to lower cholesterol levels?* A. Statins increase the activity of LDL receptors in the liver by increasing the bioavailability of fibric-acid. B. Statins inhibit bile acid in the GI tract from being absorbed and as a result the liver turns cholesterol into bile acid. C. Statins increases hydroxymethylglutaryl-coenzyme A enzyme and this increases renal excretion of cholesterol .D. Statins inhibit HMG-CoA reductase which in turn hinders cholesterol synthesis in the liver.
D. Statins inhibit HMG-CoA reductase which in turn hinders cholesterol synthesis in the liver.
What is the mechanism of action of ezetimibe (Zetia)? a. Binds to bile acids in the intestine, inhibiting its reabsorption into the blood. b. Inhibits absorption of dietary and biliary cholesterol in the small intestine c. Decreases the adhesion of cholesterol in the arteries. d. Inhibits the biosynthesis of cholesterol in the liver.
b. Inhibits absorption of dietary and biliary cholesterol in the small intestine
8. A patient has been taking simvastatin (Zocor) for 6 months. Today he received a call that he needs to come to the office for a "laboratory check." The nurse expects which laboratory studies to be ordered at this time? (Select all that apply.)a. PT/ INRb. Total cholesterolc. Triglycerided. Liver function studiese. Complete blood countf. HDL and LDL levels
b. Total cholesterol c. Triglyceride d. Liver function studies f. HDL and LDL levels
Which discharge instruction should the nurse include for a patient prescribed an antilipemic medication? a. "It is important to take a double dose to make up for a missed dose. "b. "Stop taking the medication if it causes nausea and vomiting." c. "Continue your exercise program and maintain a low-fat diet." d. "Lifestyle changes are no longer necessary when taking this medication."
c. "Continue your exercise program and maintain a low-fat diet."
