Intro to Pharmacology Ch 23 Lipid
Disorders, Adams
The patient says to the nurse, "My doctor says I have heart disease and I need to
decrease cholesterol in my diet. How did this happen?" What is the best response by
the nurse? - ANS-"The arteries around your heart are narrowed by low density
lipoprotein (LDL) cholesterol buildup in them."
The nurse is providing group education about lipids to patients who have been
diagnosed with hyperlipidemia. What does the best instruction include? - ANS-High
density lipoprotein (HDL) is called good cholesterol because it removes cholesterol from
the body and gets rid of it in the liver.
The patient tells the nurse she is confused about what she has been reading about
lipids. What are the best responses by the nurse? - ANS-2. "Phospholipids are essential
to building plasma membranes."
3. "Cholesterol is a building block for estrogen and testosterone."
4. "Triglycerides are the major form of fat in the body."
5. "Cholesterol in the diet is unnecessary as the liver synthesizes it."
The patient has serum cholesterol levels of the following:
Low density lipoprotein (LDL) = 105 mg/dl
High density lipoprotein (HDL) = 37 mg/dl
Low density lipoprotein (LDL)/high density lipoprotein (HDL) ratio = 4.1
In planning care with this patient, what is the best outcome? - ANS-The patient will
maintain normal lipid levels without the use of medications.
The patient has borderline laboratory levels; patients with borderline laboratory values
can control their dyslipidemia entirely through nonpharmacological means. To the extent
possible, maintaining normal lipid values without pharmacotherapy should be a
therapeutic goal as all medications have side effects.
The nurse has completed nutritional teaching with the patient who has a high low
density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective
when the patient makes which menu choice? - ANS-Grilled chicken with rice and
broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and
low-fat chocolate pudding
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