Pharm Chapter 27 NCLEX

Which discharge instruction should the nurse include for a patient prescribed an antilipemic medication?

"Continue your exercise program and maintain a low-fat diet."

The nurse provides discharge instructions to a patient prescribed cholestyramine (Questran). Which statement by the patient indicates teaching was effective for this drug?

"I will increase fiber in my diet and drink more fluids."

Which statement by the patient indicates a need for further instruction about colestipol (Colestid) from the nurse?

"I will mix and stir the powder thoroughly with at least 1 to 2 oz of fluid."

To decrease the skin flushing adverse effect reaction of niacin (nicotinic acid), which action should the nurse take?

Administer aspirin 30 minutes before each dose.

Which statement by the nurse explains to the patient the action of cholestyramine (Questran) to decrease blood lipid levels?

Binds to bile in the intestinal tract, forming an insoluble complex that is excreted in the feces.

The nurse will assess a patient receiving gemfibrozil (Lopid) and warfarin (Coumadin) for the increased risk of which adverse effect?

Bleeding

The nurse would question a prescription for colesevelam (Welchol) in a patient with which condition?

Bowel obstruction

Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are generally administered at which time of day?

Evening

A patient with elevated triglyceride levels unresponsive to HMG-CoA reductase inhibitors will most likely be prescribed which drug?

Gemfibrozil (Lopid)

The nurse would question a prescription for simvastatin (Zocor) in a patient with which condition?

Hepatic disease

By which action does atorvastatin (Lipitor) decrease lipid levels?

Inhibiting HMG-CoA reductase, the enzyme responsible for the biosynthesis of cholesterol in the liver

What is the mechanism of action of ezetimibe (Zetia)?

Inhibits absorption of dietary and biliary cholesterol in the small intestine.

To assess for a potentially serious adverse effect to HMG-CoA reductase inhibitors, the nurse should monitor which laboratory results?

Liver function studies

The nurse is providing discharge teaching for a patient about potential serious adverse effects to simvastatin (Zocor). Which symptom may indicate the patient is experiencing a serious adverse effect to this medication?

Muscle pain