chapter 47

A client with primary hypercholesterolemia has been prescribed 10 mg of ezetimibe per day by a health care provider. The provider has instructed the nurse to continue the drug therapy for 3 days. The drug is available in 10-mg capsules. How many capsules of the drug should the nurse administer to the client during the entire therapy? 2 capsules 4 capsules 1 capsule 3 capsules

3 capsules

Which activity increases high-density lipoproteins? Regular aerobic exercise Weight loss Smoking cessation All of these

All of these

A client is taking atorvastatin calcium to reduce serum cholesterol. Which aspect of client teaching is most important? It is acceptable to eat saturated fats. Call the health care provider if muscle pain develops. Eat two eggs per day to increase protein stores. Decrease the dose if lethargy occurs.

Call the health care provider if muscle pain develops.

A client asks the nurse what the atorvastatin (Lipitor) prescribed for the client will do. What is an expected outcome for this client? Decrease in serum cholesterol and LDL levels Decrease in campesterol and LDL levels Decrease in sitosterol and serum cholesterol Decrease in serum cholesterol only

Decrease in serum cholesterol and LDL levels

A client is taking cholestyramine to reduce LDL cholesterol. Cholestyramine will cause a decrease in absorption of which medication? Aspirin Acetaminophen Ibuprofen Digoxin

Digoxin

What intervention may help the client increase HDL levels?

Exercise

What intervention may help the client increase HDL levels? Leg elevation Smoking cessation TED hose Exercise

Exercise

Which drug is most effective in reducing serum triglyceride levels? Bile acid sequestrants Niacin Fibrates HMG-CoA reductase inhibitors

Fibrates

Which drug is most effective in reducing serum triglyceride levels? HMG-CoA reductase inhibitors Niacin Fibrates Bile acid sequestrants

Fibrates

A client appears to be a candidate for statin therapy. What laboratory value should be assessed prior to initiating therapy? aPTT LFT CBC BUN

LFT

An obese client who has an elevated triglyceride level and reduced high-density lipoprotein cholesterol is seen by the primary health care provider. What do these data suggest in this client? The development of Reye's syndrome The development of Tay-Sachs disease The development of metabolic syndrome The development of arthritic syndrome

The development of metabolic syndrome

A 37-year-old woman with moderately elevated lipid levels requests immediate pharmacotherapy for her dyslipidemia. The nurse explains that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered. The nurse explains the rationale for this regimen as: Therapeutic lifestyle changes work only when used in conjunction with medications. Therapeutic lifestyle changes are the preferred method for lowering blood lipids. Continued therapeutic lifestyle changes during drug therapy will guarantee success.

Therapeutic lifestyle changes are the preferred method for lowering blood lipids.

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 easier to comply with than medication therapies. Therapeutic lifestyle changes are the preferred method for lowering blood lipids. Nonpharmacologic interventions are cheaper than using medications. Continued therapeutic lifestyle changes during drug therapy will guarantee success.

Therapeutic lifestyle changes are the preferred method for lowering blood lipids.

What information would be included in a lipoprotein profile? Select all that apply: AST ALT LDL Triglycerides Total cholesterol

Total cholesterol Triglycerides LDL

What information would be included in a lipoprotein profile? Select all that apply: LDL AST ALT Triglycerides Total cholesterol

Total cholesterol Triglycerides LDL

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? pruritis. rhabdomyolysis. cholelithiasis. cholecystitis.

rhabdomyolysis.

A patient with metabolic syndrome usually has increased plasminogen activator levels. False True

True

A 58-year-old man has recently been prescribed atorvastatin (Lipitor) in an effort to reduce his cholesterol levels. The man has acknowledged the potentially harmful effects of hyperlipidemia and is motivated to make changes to resolve this health problem. What advice should the nurse give to this client? "I'll give you the names of some salt substitutes that you can start using to season your food." "Try to get most of your food energy from protein sources rather than carbohydrates." "A low-fat diet is a good idea, and the animal sources of fat are always preferable to plant sources." "It's a good idea to keep your intake of saturated fat to a bare minimum."

"It's a good idea to keep your intake of saturated fat to a bare minimum."

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 information would the nurse include? Select all that apply. Gender Family history Diet Age Weight

Weight Diet