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HLTH 314 Questions 5-8 with correct answers
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HLTH 314 Questions 5-8 with correctanswers
While a client is receiving an HMG-CoA Reductase inhibitor (statin), the nurse knows to monitor the
client closely for the development of which problem?
a. Pulmonary Problems
b. Vitamin C deficiency
c. Liver dysfunction
d. Neutropenia - correct answer -C. Liver Dysfunction
Response Feedback:
HMG-CoA reductase Inhibitors (statins) may adversely affect liver function (where cholesterol synthesis
occurs); therefore, liver function studies need to be closely monitored. The other options do not reflect
problems that may occur with HMG-CoA Reductase Inhibitors (statins).
Professor Reddington made fun of her father for experiencing what adverse effects of niacin (nicotinic
acid)?
a. Gout
b. Flatulence
c. Cutaneous flushing
d. Pruitis - correct answer -C. Cutaneous Flushing
Response Feedback:
A younger professor Reddington made fun of her father's flushed, red face from taking niacin (nicotinic
acid). Niacin (nicotinic acid). A common adverse effect of Niacin is an intense cutaneous flushing that can
be accompanied by an itching/burning/prickly sensation. The administration of aspirin (ASA) or an NSAID
(ibuprofen) 30 mins before the administration of niacin can help alleviate this discomfort. Pruitis is not a
known adverse effect of Niacin. Gout can occur with niacin therapy due to increased serum levels of uric
acid which can predispose to the development of gout, but was not an issue with Professor Reddington's
HLTH 314 Questions 5-8
,father. GI discomfort, such as flatulence, could occur with niacin therapy but luckily did not occur with
Professor Reddington's father.
A client calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday
clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this
medication for administration?
a. It is recommended not to drink the whole glass if there are clumps
b. Mix the powder for at least one minute with at least 4 to 6 ounces of fluid or soft-like food
c. Mix the powder in a carbonated soda drink to dissolve it faster.
d. Sprinkle the powder into a spoon and take it dry, followed by a glass of water. - correct answer -b. Mix
the powder for at least one minute with at least 4 to 6 ounces of fluid or soft-like food
Response Feedback:
Mix the powder for at least one minute (if not more) with soft foods like applesauce or yogurt or at least
4 to 6 ounces of fluid. The powder may not mix completely at first, but patients should be sure to mix
the dose as much as possible and then dilute any undissolved portion with additional fluid. The powder
should be dissolved for at least 1 full minute, and small remaining clumps are okay for administration.
Powder and granule dosages are never to be taken in dry form, as the medication is activated by the
liquid. Mixing in carbonated soda is not recommended due to a reaction with the carbonation and
medication.
A client on HMG-CoA reductase inhibitors (statins) therapy is complaining of muscle soreness and dark-
colored urine. What is the nurse concerned about?
a. Sick Sinus Syndrome
b. Hypothyroidism
c. Cinchonism
d. Rhabdomyolysis - correct answer -D. Rhabdomyolysis
Response Feedback:
Taking HMG-CoA reductase inhibitors (statins) can cause a serious condition called rhabdomyolysis,
which causes a breakdown of skeletal muscle fibers that leads to acute renal failure and death; muscle
HLTH 314 Questions 5-8
, soreness and changes in urine color are early signs of rhabdomyolysis. Cinchonism is an adverse effect of
quinoline derivatives. Sick sinus syndrome is an adverse effect seen from class IV anti-arrhythmias called
calcium-channel blockers, such as Diltiazem. Hypothyroidism is not associated with antilipemic therapy
A client with a red, swollen leg is diagnosed with a deep vein thrombosis (DVT) and is planning to be
discharged home on a "warfarin (Coumadin)-enoxaparin (Lovenox)" bridging therapy. The nurse makes
what correct statement regarding this therapy?
a. "You will discharge home on both oral warfarin (coumadin) tablets and subcutaneous low molecular
weight heparin (LMWH) enoxaparin (Lovenox) injections and will continue both therapies until your INR
becomes therapeutic; then you may discontinue the enoxaparin (Lovenox) injections"
b. "You will be discharged home on both oral warfarin (coumadin) tablets and continuous intravenous
unfractionated heparin infusion and will continue both therapies until your INR becomes therapeutic;
then you may discontinue the heparin infusion."
c. "You will discharge home on both oral warfarin (coumadin) tablets and subcutaneous low molecular
weight heparin (LMWH) enoxaparin (Lovenox) inje - correct answer -A
Response Feedback:
The client will discharge home on both oral warfarin (coumadin) tablets and subcutaneous low
molecular weight heparin (LMWH) enoxaparin (Lovenox) injections. The client will continue both
therapies until the INR becomes therapeutic, then the enoxaparin (Lovenox) injections will be
discontinued and the client will remain on daily oral warfarin (coumadin) tablets until the DVT resolves
or therapy is complete.
A child is admitted to the hospital with flu-like symptoms (cough, congestion, and body aches). The
nurse knows which medication should be avoided to treat these symptoms?
a. Diphenhydramine (Benadryl)
b. NSAIDs (Ibuprofen)
c. Acetaminophen (Tylenol)
d. Aspirin (ASA) - correct answer -D: Aspirin (ASA)
Response Feedback:
HLTH 314 Questions 5-8
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