Pharm Chap 34 NCLEX

HMG-CoA reductas inhibitors (statins) are classified as which pregnancy category a) Pregnancy category B b) Pregnancy category C c) Pregnancy category A d) Pregnancy category X

d) Pregnancy category X

after teaching a group of students about drugs used to treat hyperlipidemia, the instructor determines that the teaching was successful when the students identify which of the following (select all that apply) a) HMG-CoA reductase inhibitors b) angiotensin II receptor blockers c) calcium channel blockers d) bile acid resins e) fibrin acid derivative

a) HMG-CoA reductase inhibitors d) bile acid resins e) fibrin acid derivative

a client is taking cholestyramine 4 grams by mouth once wily in the morning and is to begin taking glipizide 5 mg once daily for diabetes. which of the following would be appropriate for administering both drugs (select all that apply) a) administer the glipizide 1 hour before the cholestyramine b) administer the glipizide 4 hours after cholestyramine c) administer the glipizide in the evening d) administer both medications at the same time in the evening e) administer both medications at the same time in the morning

a) administer the glipizide 1 hour before the cholestyramine b) administer the glipizide 4 hours after cholestyramine c) administer the glipizide in the evening

a nurse is caring for a female client who breatfeeds her 3-month-old infant. the client tells the nurse that she has been taking garlic to reduce serum cholesterol levels. the nurse informs the client that which of the following may occur a) colic in her infant b) severe stomach upset c) increased risk of bleeding d) increased blood pressure

a) colic in her infant

a nurse is preparing a teaching plan for a client who is prescribed cholestyramine. which of the following would the nurse include as a possible adverse reaction associated with this drug. (select all that apply) a) constipation b) abdominal cramping c) memory problems d) dizziness e) bruising

a) constipation b) abdominal cramping e) bruising

a nurse is conducting a presentation for a local community group about hyperlipidemia. when discussing the factors that individuals can work on to reduce their risk, which of the following would the nurse include (select all that apply) a) diet b) family history c) gender d) age e) weight

a) diet e) weight

a nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. The nurse would assess the client for which of the following as a possibly a) flushing of the skin b) weakness c) tachycardia d) dyspnea

a) flushing of the skin

a client is diagnosed with hyperlipidemia and is to receive drug therapy as part of the treatment plan. when reviewing the client's laboratory test results, which of the following would the nurse identify as supporting the client's diagnosis (select all that apply) a) total cholesterol 250 mg/dL b) total cholesterol 150 mg/dL c) LDL cholesterol 165 mg/dL d) HDL cholesterol 60 mg/dL e) LDL cholesterol 90 mg/dL

a) total cholesterol 250 mg/dL c) LDL cholesterol 165 mg/dL

a nurse suspects that client receiving antihyperlipidemic therapy is experiencing rhabdomyolysis based on assessment of which of the following (select all that apply) a) unexplained muscle pain b) fever c) malaise d) cough e) nasal congestion

a) unexplained muscle pain b) fever c) malaise

a nurse is preparing to administer a prescribed bile acid resin to a client with hyperlipidemia. the nurse understands that this class of drugs can decrease serrum levels of several medications, primarily via which mechanism a) induction of hepatic enzymes b) decreased gastrointestinal absorption c) inhibition of hepatic enzymes d) increased renal excretion

b) decreased gastrointestinal absorption

after reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding of the information when they identify which of the following as a fibrin acid derivative (vibrate) a) colesevalam (WelChol) b) gemfibrozil (Lopid) c) ezemtibibe (Zetia) d) niacin (Niaspan)

b) gemfibrozil (Lopid)

a nurse is providing care to a client who has elevated levels of low-density lipoprotein (LDL) a review of the client's history reveals a sedentary lifestyle and a history of being overweight. the nurse understands that this combination of factors places the client as risk for which of the following a) hypertension b) heart disease c) diabetes d) glaucoma

b) heart disease

a nurse is caring for a client who has been prescribed cholestyramine powder for pruitus treatment what instructions should the nurse include in the teaching plan for the client (select all that apply) a) take other drugs 1 hour after cholestyramine b) mix the drug with fluid soups of pulpy fruits c) take other drugs 4-6 hours before cholestyramine d) do not ingest the drug in the dry form e) mix the drug in 2-6 fluid ounces of water

b) mix the drug with fluid soups of pulpy fruits d) do not ingest the drug in the dry form e) mix the drug in 2-6 fluid ounces of water

a client asks the nurse about herbal products that can help to lower serum cholesterol and triglycerides which of the following would the nurse include in the response a) ginseng b) hawthorne berry c) garlic d) black cohosh e) feverfew

c) garlic

after teaching a client about his prescribed statin therapy, the nurse determines that additional teaching is needed when the client states which of the following 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) I can take the drug with grapefruit juice