Exam (elaborations)
Pharm 47 & 48 – Qs And As (Graded A+)
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Pharm 47 & 48 – Qs And As (Graded A+)
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Pharm 47 & 48 – Qs And As (Graded A+)A client is taking cholestyramine to reduce LDL cholesterol. Cholestyramine
will cause a decrease in absorption of which medication? ✔️Ans - digoxin
The three major classes of drugs used to control blood lipids are statins, bile
acid resins (or sequestrants), and fibrates. Which is a fibrate? ✔️Ans -
gemfibrozil
A nurse is preparing a teaching plan for a client who is prescribed
cholestyramine. Which information would the nurse include as a possible
adverse reaction associated with this drug? Select all that apply. ✔️Ans -
Constipation
Abdominal cramping
Bruising
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? ✔️Ans - Therapeutic lifestyle changes
are the preferred method for lowering blood lipids.
What should the nurse suggest to assist a client to improve his cholesterol
levels? ✔️Ans - smoking cessation
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? ✔️Ans -
elevated LDL
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? ✔️Ans
- heart disease
After teaching a group of students about metabolic syndrome, the instructor
determines that the teaching was successful when the students identify which
characteristic? ✔️Ans - Triglyceride level above 150 mg/dL
,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? ✔️Ans -
Cholestyramine
What is the most common reason for an elevated cholesterol level in a client
who does not have a genetic disorder of lipid metabolism? ✔️Ans - his
dietary intake of saturated fat
Elevated blood lipids are a major risk factor for atherosclerosis and vascular
disorders. From where are blood lipids derived? ✔️Ans - diet
What information would be included in a lipoprotein profile? Select all that
apply: ✔️Ans - Total cholesterol
Triglycerides
LDL
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? ✔️Ans - "The most common side effects of atorvastatin
include some mild gastrointestinal upset."
Which drug is most effective in reducing most major types of dyslipidemia in
patients at risk or who have already developed CAD? ✔️Ans - HMG-CoA
reductase inhibitors (statins)
A nurse is aware of the high incidence and prevalence of hyperlipidemia and
the consequent need for antihyperlipidemics. Treatment of high cholesterol
using statins would be contraindicated in which client? ✔️Ans - An obese
male client who is a heavy alcohol user and who has cirrhosis of the liver
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? ✔️Ans - inhibits cholesterol syntheses.
, After reviewing information about antihyperlipidemic drugs, a group of
nursing students demonstrate understanding when they identify which
medication as a fibric acid derivative (fibrate)? ✔️Ans - gemfibrozil
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? ✔️Ans - stop smoking
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? ✔️Ans -
high
A patient is receiving atorvastatin. The nurse would anticipate that the
maximum effectiveness of the drug would occur within which time frame?
✔️Ans - 1 to 2 hours
The client is diagnosed with hyperlipidemia and prescribed lovastatin. Which
is the most common adverse effects of lovastatin? ✔️Ans - headache and
flatulence
A client with atrial fibrillation who is receiving oral anticoagulant therapy is
receiving atorvastatin. The nurse would monitor this client for: ✔️Ans -
bleeding
In addition to being synthesized in the liver and intestine, from where are
blood lipids derived? ✔️Ans - diet
A nurse should be aware that use of statin drugs is contraindicated in clients
with which conditions? (Select all that apply.) ✔️Ans - Pregnancy
Serious hepatic disease
Lactation
A patient with hyperlipidemia is prescribed ezetimibe. Which ongoing
assessment should the nurse perform during treatment? ✔️Ans -
Frequently monitor blood cholesterol.
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: ✔️Ans - muscle pain
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