PHARM FINAL
The nurse is taking a health history on a 38- year- old male who is taking atorvastatin (Lipitor) for high cholesterol. The nurse will be sure to ask a specific group of questions regarding the clients use of: a. alcohol b. caffeine c. nicotine d. herbal supplements
a
The nurse is teaching a 45- year- old client about ways to lower elevated cholesterol levels. One method to lower cholesterol levels is to exercise, which: a. increases HDL and decreases triglycerides b. increases LDL and decreases triglycerides c. decreases HDl and increases LDL d. decreases both HDL and LDL
a
The nurse is teaching a 45- year- old client about ways to lower elevated cholesterol levels. One method to lower cholesterol levels is to exercise, which: a. increases HDL and decreases triglycerides b. increases LDL and decreases triglycerides c. decreases HDL and increases LDL d. decreases both HDL and LDL
a
Atorvastatin is prescribed to reduce the amount of cholesterol made by the liver. What are the most common side effects with this therapy? Select all that apply. a. heart burn b. joint pain c. weight gain d. confusion
a?
antiplatletts
alter the formation of the platelet plug
A 51- year- old man is being discharged form the hospital following treatment with anticoagulants for a deep vein thrombosis. The nurse will instruct the client to: a. alternate between the types of anticoagulant drugs in the therapy b. consider safety measures to prevent bleeding and be alert for signs of bleeding c. change the route of administration to intravenous if oral proves ineffective d. eat small amounts of food during drug administration
b
A 51- year- old man is being discharged from the hospital following treatment with anticoagulants for a deep vein thrombosis. the nurse will instruct the client to: a. alternate between the types of anticoagulant drugs in the therapy b. consider safety measures to prevent bleeding and be alert for signs of bleeding c. change the rout of administration to intravenous if oral proves ineffective b. east small amounts of food during drug administration
b
A client asks the nurse what the atorvastatin (Lipitor) prescribed for the client will do. what is an expected outcome for this client? a. decrease in serum cholesterol only b. decrease in serum cholesterol and LDL levels c. decrease in sitosterol and serum cholesterol d. decrease in camperterol and LDL levels
b
A patient has been prescribed niacin, and the nurse is teaching about the medication and its adverse effects. The adverse effects of niacin include intense cutaneous flushing and: a. hypotension b. abdominal pain c. arthritic pain d. vomitting
b
Which drug is most effective in reducing serum triglyceride levels? a. atrovastatin b. lopid c. welchol d. niacin
b
A client prescribed an anticoagulant demonstrates an understand of their condition by implementing which interventions to manage an episode of bleeding? select all that apply a. skip the next dose of the medication b. apply firm, constant pressure to the bleeding site c. put pressure on the pulse point directly about the bleeding site d. apply heat to the bleeding site e. Notify a health care provider immediately
b, e
The nursing instructor is discussing the indications for using heparin with the students. What are the indications for using heparin? (Select all that apply) a. prevent the clotting in saline lock sets b. prevention and treatment of pulmonary emboli c. treatment of atrial fibrillation with embolization d. prevention and treatment of venous thrombosis
b,c,d
Thrombolytic
breakdown the thrombus that has formed by stimulating the plasma system
A nurse is caring for a client who is going home on warfarin (Coumadin). The nurse will schedule the client for what laboratory test to help evaluate therapeutic effects of the drug? a. Prothrombin time (PT) only b. international normalized ratio (INR) only c. prothrombin time (PT) and international normalized ratio (INR) d. Prothrombin time (PT) and activate partial thromboplastin time (APTT)
c
A patient has been prescribed atorvastatin (lipitor) comes to the clinic with acute muscle pain not associated with exercise or injury, which indicated potential rhabdomyolysis. The nurse knows that the use of atorvastatin with which products places the patient at risk for rhabdomyolysis? a. over- the- counter drug use b. use of ginseng c. grapefruit juice consumption d. use of saw palmetto
c
A student asks the nursing instructor what the most common adverse effects of ezetimibe (Zetia) are. What would be the instructors best response? a. bloating and flank pain b. neuropathy and flatulence c. mild abdominal pain and diarrhea d. constipation and flank pain
c
a patient has been prescribed atorvastatin (lipitor) comes to the clinch with acute muscle pain not associated with exercise or injury, which indicates potential rhabdomyolysis. The nurse knows that the use of atorvastatin with which products places the patient at risk for rhabdomyolysis? a. over-the-counter drug use b. use of ginseng c. grapefruit juice consumption d. use of saw palmetto
c
the most common adverse effects of lovastatin (Mevacor) include: a. hiccups, sinus congestion, and dizziness b. fatigue and mental disorientation c. increased appetite and blood pressure d. nausea, flatulence, and constipation
c
Niacin is prescribed to a client to increase HDL levels. What are the most common adverse effects of this therapy? Select all that apply. a. headache b. diarrhea c. flushing of the face d. nausea e. vomiting
c, d, e
A patient presents at the clinic after one week of taking pravastatin (Pravacol) with reports of "just not feeling well." The nurse asks what liquid the patient has been taking their medication with, and the patient reports drinking a lot of grapefruit juice. the nurse should know that grapefruit juice increases the risk of which adverse effects? a. gastric ulcerations b. diarrhea c. nausea d. toxicity
d
The pharmacology instructor asks what drug inhibits peripheral breakdown of lipids, reduces LDLs, and increases HDL concentrations. What what be the correct answer? a. Fenofibrate (Tricor) b. Niacin (Niaspan) c. Atorvastatin (Lipitor) d. Gemfibrozil (Lopid)
d
anticoagulation
interfere with the clotting cascade and thrombin formation
A patient presents at the clinic after one week of taking pravastatin (Pravacol) with reports of "just not feeling well." The nurse asks what liquid the patient has been taking their medication with, and the patient reports drinking a lot of grapefruit juice. The nurse should know that grapefruit juice increases the risk of which adverse effects? a. gastric ulceration b. diarrhea c. Nausea d. Toxicity
toxicity
