Chapter 10: Drug Therapy for Dyslipidemia, NCLEX-Style Chapter Review Questions
Which category of blood lipids is involved in the formation of atherosclerotic plaques?
cholesterol is the portion of blood lipids involved in the formation of atherosclerotic plaque
What health problems contraindicate the use of fibrates for the treatment of dyslipidemia? select all that apply
chronic renal failure liver disease
A client has had cholestyramine added to his or her treatment plan for dyslipidemia. What effect will cholestyramine have on the pharmacokinetics of the thiazide diuretic that the client is currently prescribed?
decrease absorption
The nurse should be cognizant that niacin therapy is the most effective method of achieving which cardiac-related goal?
increased concentration of HDL cholesterol
A 39-year old nulliparous woman has been taking atorvastatin for 2 years and has now decided that she would like to become pregnant. What health education should the nurse provide to this client?
it's important that you stop taking atorvastatin before you stop using contraception
What classification of medications present the client with an increased risk of developing dyslipidemias? select all that apply
oral estrogens thiazide diuretics beta blockers glucocorticoids dyslipidemia may be primary, secondary, or medications; not associated with antifungals
How does the nurse providing medication education describe how the drug atorvastatin achieves its desired therapeutic effect?
reducing the amount of cholesterol synthesized by the liver
What nonpharmacologic measures should the nurse include when educating a client about the management of metabolic syndrome? select all that apply
begin a low fat diet begin a regular walking program
Recommended treatments for clients with dyslipidemia are made according to their blood levels of total and LDL cholesterol and risk factors for cardiovascular disease. What does the impact of existing cardiovascular disease have on recommendations?
decreases target serum LDL level
In addition to being synthesized in the liver and intestine, from where are blood lipids derived?
diet (blood lipids including cholesterol, phospholipids, and triglyercerides
To effectively prevent or manage metabolic syndrome, what should the desired blood lipid profile include? select all that apply
high HDL cholesterol low LDL cholesterol low total cholesterol low triglycerides
What factor determines the "preferred" density of the cholesterol?
higher amount of protein
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 (nausea, constipation, diarrhea, abdominal cramps or pain, headache, skin rash -statins are usually well tolerated
What is the basis for a nurse's recommendation of a period of intensive diet therapy and lifestyle modification before initiation of drug therapy for a client newly diagnosed with dyslipidemia?
therapeutic lifestyle changes are the preferred method lowering blood lipids
What is the basis for a nurse's recommendation to avoid a stringent fat-restricted diet when planning interventions to treat a client's dyslipidemia?
diet with more stringent fat restrictions raise serum triglyceride levels