Chapter 10 NCLEX-Style Review Questions

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 should the nurse teach the older adult client about the potential adverse effects of atorvastatin?

"The most common side effects of atorvastatin involve some mild gastrointestinal upset."

What health problems contraindicate the use of fibrates for the treatment of dyslipidemia?

Chronic renal failure & liver disease

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?

Diets with more stringent fat restrictions raise serum triglyceride levels.

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 for lowering blood lipids.

Which category of blood lipids is involved in the formation of atherosclerotic plaques?

cholesterol

The nurse should be cognizant that niacin therapy is the most effective method of achieving which cardiac-related goal?

increased concentration of HDL cholesterol

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

To effectively prevent or manage metabolic syndrome, what should the desired blood lipid profile include?

1. low LDL cholesterol 2. high HDL cholesterol 3. low total cholesterol 4. low triglycerides

In addition to being synthesized in the liver and intestine, from where are blood lipids derived?

diet

What nonpharmacologic measures should the nurse include when educating a client about the management of metabolic syndrome?

1. Begin a regular walking program. 2. Begin a low-fat diet.

What classifications of medications presents the client with an increased risk of developing dyslipidemias?

1. Beta-blockers 2. Thiazide diuretics 3. Oral estrogens 4. Glucocorticoids

A client has had cholestyramine added to his or her plan for dyslipidemia. What effect will cholestyramine have on the pharmacokinetics of the thiazide diuretic that the client is currently prescribed?

decreased absorption

Recommended treatment for clients with dyslipidemia are made according to their blood levels of total and low-density lipoproteins (LDL) cholesterol and risk factors for cardiovascular disease. What does the impact of existing cardiovascular disease have on recommendations?

decreases target serum LDL level

What factor determines the "preferred" density of the cholesterol?

higher amount of protein