Pharm Ch 34 PrepU
After teaching a client about prescribed statin therapy, the nurse determines that additional teaching is needed when the client makes which statement?
"I can take the drug with grapefruit juice."
A 39-year-old nulliparous woman has been taking atorvastatin for 2 years and has now decided that she would like to become pregnant. What health education should the nurse provide to this client? Nulliparous is the medical term for a woman who has never given birth either by choice or for any other reason. This term also applies to women who have given birth to a stillborn baby, or a baby who was otherwise not able to survive outside the womb.
"It's important that you stop taking atorvastatin before you stop using contraception."
The nurse is providing medication teaching to a client who will begin taking niacin with a bile acid sequestrant. How should the nurse instruct the client to take these two medications?
"The medications should be taken 4 to 6 hours apart."
The nurse is providing education to an older adult client who has been prescribed atorvastatin. How should the nurse describe the common adverse effects of the drug?
"The most common side effects of atorvastatin include some mild gastrointestinal upset."
A client is going home on cholestyramine (Questran). Client teaching should state that this medication should be administered:
1 hour after other medications.
A client who has been taking a statin 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?
Cholestyramine
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
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?
Elevated LDL levels
What intervention may help the client increase HDL levels?
Exercise
A nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. The nurse would assess the client for which findings as a possibility?
Flushing of the skin
After reviewing information about antihyperlipidemic drugs, a group of nursing students demonstrate understanding when they identify which medication as a fibric acid derivative (fibrate)?
Gemfibrozil
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 at risk for which condition?
Heart disease
A 54-year-old client has a cholesterol level of 240 mg/dL (6.2064 mmol/L). What serum concentration of cholesterol would this client have?
High
The nurse is teaching a 45-year-old client about ways to lower cholesterol level. What effects of exercise does the nurse describe?
Increases high-density lipoproteins (HDLs) and decreases low-density lipoproteins (LDL)
An elderly client with dyslipidemia has had fenofibrate added to the existing medication regimen. In addition to having the lipid profile drawn on a regular basis, the nurse should educate the client about the need for what ongoing laboratory testing during therapy?
Liver panel
HMG-CoA reductase inhibitors (statins) are classified as which pregnancy category?
Pregnancy Category X
The nurse is caring for a client with high serum cholesterol and triglyceride levels. In teaching the client about therapeutic lifestyle changes and the use of medications, the nurse explains that the desired goal for cholesterol levels is what?
Reduced low-density lipoprotein (LDL) values and increased HDL values
A client with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be best determined?
Reviewing the client's laboratory blood work results
A client has an elevated total serum cholesterol of 260 mg/dL (14.4 mmol/L). Which aspect of client teaching of lifestyle changes is most important for the client?
Stop smoking
A client with moderately elevated lipid levels requests immediate pharmacotherapy for dyslipidemia. The nurse explains that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered based on what rationale?
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 the preferred method for lowering blood lipids.
A 45-year-old client who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the client to do which?
avoid prolonged exposure to sunlight.
Which category of blood lipids is involved in the formation of atherosclerotic plaques?
cholesterol
In addition to being synthesized in the liver and intestine, from where are blood lipids derived?
diet
The client is diagnosed with hyperlipidemia and prescribed lovastatin. Which is the most common adverse effects of lovastatin?
headache and flatulence.
What factor determines the "preferred" density of the cholesterol?
higher amount of protein
A client has been prescribed lovastatin for high cholesterol. 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 in which manner?
inhibits cholesterol syntheses.
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:
muscle pain
