Pharm: Chapter 47: Lipid-Lowering Agents PREP U

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 1 capsule 3 capsules 4 capsules

3 capsules

Which of the following activities increases high-density lipoproteins? a) All of these b) Smoking cessation c) Regular aerobic exercise d) Weight loss

All of these

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

Call the health care provider if muscle pain develops.

Blood lipids are a category of fatty acids, which are substances used within the body to perform essential functions. Which category of blood lipids is involved in the formation of atherosclerotic plaques? a) Phospholipids b) Cholesterol c) None of these d) Triglycerides

Cholesterol

Which of the following would be classified as a bile acid sequestrant? a) Gemfibrozil b) Cholestyramine c) Ezetimibe d) Lovastatin

Cholestyramine

A patient who has been taking lovastatin (Mevacor) has seen an improvement in his cholesterol laboratory values; however, the low-density lipoprotein remains elevated. What medication will be added to the medical regime? a) Cholestyramine (Questran) b) Calcium carbonate c) Vitamin D d) Digoxin (Lanoxin)

Cholestyramine (Questran)

Elevated blood lipids are a major risk factor for atherosclerosis and vascular disorders. From where are blood lipids derived? a) Exercise b) Diet c) Medications d) Kidneys

Diet

Which agent would a nurse identify as a cholesterol absorption inhibitor? a) Fenofibrate b) Colestipol c) Simvastatin d) Ezetimibe

Ezetimibe

A nurse is caring for a patient prescribed nicotinic acid for hyperlipidemia. Which of the following are experienced by patients taking nicotinic acid? a) Dyspnea b) Weakness c) Tachycardia d) Flushing of the skin

Flushing of the skin

A patient with hyperlipidemia is prescribed ezetimibe. Which ongoing assessment should the nurse perform during treatment? Take a dietary history of the patient. Inspect skin and eyelids for evidence of xanthomas. Obtain reports of fasting blood sugar levels. Frequently monitor blood cholesterol.

Frequently monitor blood cholesterol.

The three major classes of drugs used to control blood lipids are statins, bile acid resins (or sequestrants), and fibrates. Which of the following is a fibrate? a) Gemfibrozil b) Colestipol c) Colesevelam d) Cholestyramine

Gemfibrozil

A female client presents to the physician's office with complaints of a recurrence of her "hot flashes." The nurse understands that the client is taking what drug to treat her dyslipidemia? a) Niacin b) Fenofibrate c) Atorvastatin d) Cholestyramine

Niacin

What should the nurse suggest to assist a client to improve his cholesterol levels? a) Smoking cessation b) Limit exercise to the weekends c) Weight lifting d) Diet high in polysaturated fats

Smoking cessation

Your patient, a 37-year-old woman with moderately elevated lipid levels, requests immediate pharmacotherapy for her dyslipidemia. You explain that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered. You explain the rationale for this regimen as: a) Therapeutic lifestyle changes are the preferred method for lowering blood lipids. b) Continued therapeutic lifestyle changes during drug therapy will guarantee success. c) Therapeutic lifestyle changes work only when used in conjunction with medications. d) None of the above.

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

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.

inhibits cholesterol syntheses.