Lipid lowering agents
A client is taking lovastatin. Which are noted as the most common adverse effects? A) Nausea, flatulence, and constipation B) Hiccups, nasal congestion, and dizziness C) Fatigue and mental disorientation D) Increased appetite and blood pressure
A
A client appears to be a candidate for statin therapy. What laboratory value should be assessed prior to initiating therapy? A) BUN B) LFT C) aPTT D) CBC
B
The nurse is providing education to a client who has been prescribed atorvastatin. In what way will the nurse describe how the drug achieves its desired therapeutic effect? A) inhibits the absorption of dietary cholesterol in the small intestine B) reduces the amount of cholesterol synthesized by the liver C) binds with LDL molecules and eliminating their potential for atherosclerosis D) increases the direct administration rate of renal excretion of LDL
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) dry mouth. C) muscle pain. D) increased thirst.
C
A-fib is a side effect of which medication? A) Pravastatin B) Rosuvastatin C) Simvastatin D) Ezetimibe
C
The clinic nurse has been assigned to a 43-year-old client who is obese and loves to eat. The client has been diagnosed with hyperlipidemia and has been prescribed lovastatin. Which dietary instruction would be a priority for the nurse to discuss with the client? A) Increase intake of fatty acids B) Increase intake of milk and other dairy products C) Avoid drinking grapefruit juice D) Decrease intake of plant stanols
C
A nurse is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemic. Treatment of high cholesterol using statins would be contraindicated in which client? A) A 72-year-old man who has emphysema and a long history of cigarette smoking B) A resident of a long-term care facility whose Alzheimer disease is being treated with donepezil (Aricept) C) A female client who had a laparoscopic cholecystectomy (gall bladder removal) earlier this year D) An obese male client who is a heavy alcohol user and who has cirrhosis of the liver
D
A patient has been prescribed lovastatin for a high cholesterol level. 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 because it a) consists of a fibric acid derivative. b) is a bile-acid resin. c) is a hormone. d) inhibits cholesterol syntheses.
D
After teaching a client about prescribed statin therapy, the nurse determines that additional teaching is needed when the client makes which statement? a) I need to be careful when I'm out in the sun b) I should take the dose around bedtime c) I should report any problems with muscle pain or weakness d) I can take the drug with grapefruit juice
D
The most common adverse effects of lovastatin include which of the following? a) Hiccups, sinus congestion, and dizziness b) Increased appetite and blood pressure c) Headache and flatulence d) Fatigue and mental disorientation
c
As part of a routine physical examination, a 60-year-old client's primary care provider has ordered blood work that includes cholesterol levels. What result would strongly suggest the need for an antihyperlipidemic drug? A) A high ratio of HDL to LDL B) Low VLDL levels C) Elevated HDL levels D) Elevated LDL levels
D
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) pruritis. B) cholelithiasis. C) cholecystitis. D) rhabdomyolysis.
D
Which single class drug is known to be most effective in reducing the major types of dyslipidemia? A) Bile acid sequestrants B) Niacin C) Fibrates D) Statins
D
