Antihyperlipidemic drugs

1. The nurse has administered atorvastatin to a client. Which assessment findings should the nurse prioritize? Select all that apply.

constipation headache insomnia

19. The nurse is preparing to teach discharge instructions to a client who is prescribed an antihyperlipidemic medication. Which information about the drug should the nurse prioritize in the teaching? Select all that apply.

Drug name correct dose Reason for taking the prescribed drug

22. The health care provider has prescribed ezetimibe for a client diagnosed with hyperlipidemia, The nurse is prepared to prioritize which assessment to evaluate the drug's effectiveness?

Frequently monitoring blood cholesterol

10. The nurse is preparing to administer cholestyramine to a client. On preadministration assessment the nurse discovers the client is currently taking propranolol, glipizde, and acetaminophen. Which potential interactions should the nurse prioritize? Select all that apply.

Increase in blood pressure hyperglycemia

27. The nurse is preparing to administer colestipol to the client. Which method should the nurse prioritize to administer this medication?

Mix the drug in 90 ml of liquid,

17. The nurse is preparing to teach a client about HMG-COA Reductase Inhibitors. The nurse should prepare to point out which instructions? Select all that apply.

Photosensitivity can occur. The drug should be continued even if the client feels better. Statins should be administered in the evening. Julces other than grapefruit juice are okay to use.

3. A nursing instructor is teaching a class on the action of statin drugs. The instructor determines the class is successful after the students correctly choose which actions? Select all that apply.

Promote cholesterol breakdown Decrease cholesterol absorption in Gl tract Inhibit cholesterol production

18. A client with atrial fibrillation, who is receiving warfarin therapy, is to also begin therapy with cholestyramine. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

calf pain and warmth subtherapeutic INR

23. A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the client's history?

liver disease

8. A client with hyperlipidemia is prescribed cholestyramine. Which possible adverse reactions will the nurse point out when teaching the client about this drug? Select all that apply.

Malabsorption of vitamin K flatulence Aggravation of hemorrhoids

29. The client asks the nurse if garlic will truly help improve cardiovascular health. The response should be?

Prevention of atheroscleriois Lower serum triglyceride levels Lower blood pressure

32. The client presents for a routine clink visit to evaluate the long term use of cholestyramine. The health care provider determines vitamin A and D should be prescribed at this time. The nurse determines which nursing diagnose is most appropriate at this time?

Risk for Imbalanced Nutrition: Less Than Body Requirements

7. The nursing instructor has completed a teaching session on bile acids with a group of nursing students. The instructor determines the session is successful when the students correctly choose which facts as true about bile? Select all that apply.

Secreted by the liver. Emulsifies fat and lipids.

28. The nurse is teaching the client about the lovastatin which has been prescribed for hypercholesterolemia. The nurse determines the teaching is successful when the client correctly chooses to take the medication in which manner?

Taking the drug with the evening meal

6. The nurse is preparing to administer a statin to a client. The nurse will question a high dose of statins if which factors are noted on the preadministration assessment? Select all that apply.

asian descendant severe renal insufficiency use of cyclosporine

5. A nurse is preparing to administer lovastatin to a client. The nurse should question this order if which disorder is noted in the client's history? Select all that apply.

serious hepatic disease lactation

20. The nurse is preparing to administer niacin to a client with hyperlipidemia. Which adverse reaction should the nurse prioritize on ongoing assessment?

tingling

16. The nurse has completed a teaching session with a client who is prescribed nicotinic acid. The nurse determines the session is successful when the client correctly chooses which reactions as a normal response to this drug? Select all that apply.

tingling sensation of warmth flushing

4. A client is questioning the new prescription for a statin. The nurse should point out that statin will reduce the risk of which disorders for the client? Select all that apply.

transient ischemic attack stroke

13. The nurse is conducting a preadministration assessment on a client prescribed simvastatin. Which factors should the nurse prioritize? Select all that apply.

vital signs dietary history weight

12. A nurse is analyzing the chemistry profile of a client diagnosed with hyperlipidemia. Which measurements will the nurse prioritize on the lipid profile? Select all that apply.

Ast LDL tryglyceride total cholesterol

9. The nurse is preparing to teach a client about the antihyperlipidemic drug which the health care provider has prescribed. Which instructions should the nurse point out during the teaching session? Select all that apply.

Consultation with a dietitian for assistance with diet teaching Focus on the importance of taking drug exactly as prescribed Measures to minimize gastrointestinal upset Instruction possible adverse reactions and signs and symptoms to report primary health care provider

26. The nurse is preparing to teach a client with hyperlipidemia about the prescribed cholestyramine. Which instruction should the nurse prioritize for the client?

Eat foods high in dietary fiber."

24. The nurse is administering pravastatin and amiodarone to a client with cardiac issues. Which potential interaction will the nurse carefully monitor the client for?

Increased risk of myopathy

21. The nurse is finishing a teaching session with a client who is prescribed gemfibrozil. The nurse determines the session is successful when the client correctly chooses which instruction?

Observe caution while driving.

25. The health care provider has prescribed fenofibrate for a client discovered to have very high serum triglyceride levels. The nurse should question this order if the client has a history of which additional disorder?

primary biliary cirrhosis

30. A client presents for a follow-up visit after being on statin therapy for several months. The nurse concludes the therapy has been effective by which serum laboratory values? Select all that apply.

HDL cholesterol 60 mg/dL LDL cholesterol 80 mg/dL

33. A nurse is conducting a community presentation on heart disease, cholesterol, and risk factors. The nurse determines that the class has been successful when the class correctly chooses which point as true?

Physical activity raises HDL cholesterol levels.

31. A client prescribed niacin reports significant skin flushing and itching, stating, "I almost stopped taking the drug." The nurse anticipates the health care provider will prescribed which drug to address this issue?

aspirin

14. The nurse is conducting an ongoing assessment on a client who was administered an antihyperlipidemic medication. Which assessment should the nurse prioritize? Select all that apply.

assessment of bowel function vital signs

15. The nurse is evaluating the client's response to colestipot on a follow-up visit. Which suggestions should the nurse prioritize after the client reports constipation? Select all that apply.

Be sure to exercise every day. Increase your fluid intake. Use a stool softener. Eat foods rich in dietary fiber.

The nurse is preparing a teaching session for a client presxribed gemfibrozil. The nurse will point out the drugs operates via which mechanisms? Select all that apply?

Reduces production of triglycerides

2. The health care provider has prescribed pravastatin for a client. The nurse should question this order, if the client is currently prescribed with additional medication? Select all that apply.

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