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PEARSON: PHARM. NCLEX Questions - 22 - 29 TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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PEARSON: PHARM. NCLEX Questions - 22 - 29 TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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PEARSON: PHARM. NCLEX Questions- 22 - 29
The nurse teaches a consumer with a diagnosis of hyperlipidemia approximately lipids inside
the body. The nurse informs the purchaser that the main garage shape of fat in the body is:
a. Lecithins.
B. Triglycerides.
C. Steroids.
D. Phospholipids. - ANSb. Triglycerides.
(Triglycerides are the main garage form of fat within the body, and the handiest kind of lipid
that serves as an important energy supply. Lecithins are a kind of phospholipid.
Phospholipids are crucial to constructing plasma membranes. Steroids are a form of lipid,
and ldl cholesterol is the maximum not unusual steroid.)
A nurse has taken a fitness records of a purchaser, and identifies that which factors may
want to make contributions to the consumer's hyperlipidemia? (Select all that observe.)
a. The purchaser smokes cigarettes.
B. The client beverages a mild quantity of alcohol.
C. Dietary saturated fat are restricted.
D. Intake of dietary fiber is minimal.
E. The patron is 30 kilos overweight. - ANSa. The purchaser smokes cigarettes
d. Intake of dietary fiber is minimal
e. The consumer is 30 pounds overweight.
(Excess weight, tobacco use, and lack of soluble fiber can contribute to increased lipid and
levels of cholesterol. Moderate alcohol consumption can enhance HDL tiers, and saturated
fats have to be constrained.)
A client has been started on gemfibrozil (Lopid) in combination with atorvastatin (Lipitor) for
treatment of critically improved triglyceride ranges. When the customer develops bruising,
the nurse anticipates what orders?
A. Obtain an global normalized ratio (INR).
B. The dose of atorvastatin may be decreased.
C. An ECG may be ordered.
D. A p.R.N. Analgesic will be ordered. - ANSa. Obtain an international normalized ratio
(INR).
(Fibric acid derivatives, consisting of gemfibrozil, can increase bleeding instances. The INR
or prothrombin time will assist to assess the patron's clotting nation. The statin is not the
motive of the problem. An analgesic or ECG would no longer assist to correct the underlying
problem.)
,The nurse evaluates the effectiveness of drug therapy in a consumer with hyperlipidemia.
Effective therapy is pleasant evidenced by using which laboratory values?
A. HDL 35, LDL one hundred thirty
b. HDL forty five, LDL a hundred and sixty
c. HDL forty five, LDL a hundred seventy five
d. HDL 40, LDL 90 - ANSd. HDL forty, LDL 90
(The most appropriate level of LDL is now much less than a hundred mg/dL, and HDL need
to be at least 40 mg/dL or better.)
The nurse makes which of the following tips to assist a patron in lowering lipid stages?
A. Increasing complex carbohydrate intake
b. Reducing sodium consumption and exercise
c. Reducing ldl cholesterol and saturated fats
d. Increasing consumption of antioxidants - ANSc. Reducing ldl cholesterol and saturated fat
(Although exercising and substituting complex carbohydrates for easy carbohydrates will
assist to enhance the lipid profile ordinary, the first-class choice is reduction of each
cholesterol and fats. When saturated fat are present inside the blood, ldl cholesterol
excretion is inhibited.)
Drug remedy with atorvastatin (Lipitor) is initiated for a client with hyperlipidemia. The nurse
develops a teaching plan and consists of what records?
A. Eliminate all ldl cholesterol from the weight loss plan.
B. Continues to make lifestyle modifications toward reducing levels of cholesterol.
C. Stop taking the drug when nutritional adjustments are finished.
D. Always take the drug just before bedtime. - ANSb. Continues to make way of life changes
towards decreasing levels of cholesterol.
(Drug remedy should be used at the side of lifestyle modifications. Lipitor is the best statin
that can be administered at any time of day. Cholesterol intake need to be decreased,
however now not absolutely eliminated.)
Which of the subsequent records acquired by the nurse throughout the history and physical
of a client receiving atorvastatin (Lipitor) calls for instantaneous attention?
A. Possibility of being pregnant
b. Coronary artery disorder
c. History of glaucoma
d. History of diabetes mellitus - ANSa. Possibility of being pregnant
(Lipitor is a being pregnant Category X drug and have to not be used by clients who're
making plans to grow to be pregnant, are pregnant, or are breastfeeding. The drug have to
be stopped if the purchaser becomes pregnant at the same time as taking it.)
, Nursing movements for customers receiving bile acid resin therapy for treatment of
hypercholesteremia need to consist of:
a. Monitoring for cardiac dysrhythmias.
B. Monitoring of intake and output.
C. Assessment of essential symptoms.
D. Assessment of bowel sounds. - ANSd. Assessment of bowel sounds.
(Bile acid resins act in the GI tract, and aren't absorbed. Drugs can purpose constipation,
impaction, abdominal ache, bloating, nausea, vomiting, diarrhea, and steatorrhea.)
The nurse plans to consist of which of the following facts within the coaching plan of a client
who's being started out on a bile acid resin?
A. Limiting fluids to one,000 mL/day
b. Limit intake of high-fiber ingredients to 25 grams/day
c. Take the drug with a big, high-protein meal
d. Take vitamin dietary supplements of folic acid and fats-soluble nutrients - ANSd. Take
vitamin supplements of folic acid and fat-soluble nutrients
(Due to their big length, resins are not absorbed in the small intestine. They bind bile and ldl
cholesterol, which then is excreted in the feces. Since bile is wanted for absorption for
nutrients and minerals, they may be decreased to the point that deficiencies can occur with
prolonged use.)
When a consumer asks how nicotinic acid (niacin) will help to treat high lipid ranges, the
nurse explains that it ought to:
a. Increase triglyceride tiers.
B. Increase VLDL degrees.
C. Decrease LDL tiers.
D. Decrease HDL tiers. - ANSc. Decrease LDL tiers.
(The primary impact of nicotinic acid is to decrease VLDL ranges. Since LDL is synthesized
from VLDL, the purchaser studies a lower in LDL degrees. It additionally decreases
triglycerides and increases HDL.)
Which of the subsequent moves depends upon right functioning of the kidneys or the
management of Epogen?
A. Stimulates the production of RBCs.
B. Inhibits the release of renin.
C. Detoxifies drugs inside the bloodstream.
D. Secretes the hormone cortisol. - ANSa. Stimulates the manufacturing of RBCs.
(The kidney is answerable for the hormone erythropoietin, which stimulates the
manufacturing of RBCs.)
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