Deck 17: Drugs for Lipid Disorders

Question 1

The client has an HDL cholesterol value of 38 mg/dL.What is the most appropriate interpretation of this value by the nurse?
1)Normal
2)Borderline
3)Low
4)High

Answer 1

3

Question 2

The client is going to be started on cholestyramine (Questran),6 mg,three times daily.What instruction should the nurse provide to this client?
1)Take with large amounts of fluid.
2)Take in the morning.
3)Take with food.
4)Take without food.

Answer 2

1

Question 3

The nurse is providing medication instructions for a client taking colesevelam (Welchol).What should the nurse include in the teaching session?
1)Take other medications 1 hour before or 4 hours after colesevelam.
2)Take other medications 4 hours before or 1 hour after taking colesevelam.
3)Avoid all other medications for 4 hours before and after taking colesevelam.
4)Take all medications at the same time as colesevelam.

Answer 3

1

Question 4

Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?
1)"There is no link between cardiovascular disease and cholesterol levels."
2)"My diet does not need to be changed to help control my cardiovascular risk."
3)"The only people at risk for high cholesterol are those with a family history."
4)"The greater the amount of cholesterol circulating in the blood,the greater the risk of cardiovascular disease."

Question 5

According to the nurse instructing the client,which foods contain high amounts of omega-3 fatty acids? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Green beans
2)Bananas
3)Flax seeds
4)Salmon
5)Sunflower seeds

Question 6

The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet.What is the most appropriate nursing diagnosis for this client?
1)Impaired health maintenance,related to effects of drug therapy
2)Deficient knowledge,related to need for altered lifestyle
3)Noncompliance,related to dietary regime
4)Self-care deficit,related to disease process

Question 7

The client asks how the body gets rid of cholesterol.Which response by the nurse is the most appropriate?
1)Cholesterol is secreted as HDL.
2)Cholesterol is secreted through the kidneys.
3)Cholesterol is secreted in bile.
4)Cholesterol is secreted in sweat.

Question 8

Therapeutic lifestyle changes that can control high blood cholesterol levels include what percentage of total caloric intake as saturated fat?
0)011
0)026
0)037
0)042

Question 9

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered.What is another name for the type of drug?
1)A fibric acid
2)An omega-3 fatty acid
3)A statin
4)A bile acid resin

Question 10

The nurse is caring for a client who is prescribed bile acid resins.Which adverse reactions should be included in the teaching session regarding this medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Bloating
2)Constipation
3)Headache
4)Increased urination
5)Diarrhea

Question 11

The client has been taking nicotinic acid.Which adverse effects are common with nicotinic acid? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Fever
2)Hot flashes
3)Chest heaviness
4)Flushing
5)Weight gain

Question 12

What is the term for a medical condition,caused by statins,in which the muscle tissue becomes extremely inflamed,resulting in the breakdown of muscle?
1)Rhabdomyolysis
2)Spasticity
3)Multiple sclerosis
4)Dystonia

Question 13

The nurse is caring for a client who asks why LDL (low-density lipoprotein)is called the "bad" cholesterol.Which response by the nurse is most appropriate?
1)It consists of 50% cholesterol.
2)It synthesizes other steroids.
3)It is stored in the tissues.
4)It increases the risk of heart disease.

Question 14

The nurse is caring for a client who is taking simvastatin (Zocor).What should the nurse instruct this client to avoid while taking this medication?
1)All fruit juices
2)Coenzyme Q10 (CoQ10)supplements
3)Grapefruit juice
4)Orange juice

Question 15

The client asks which components of the lipid profile should be low.What is the most appropriate response by the nurse?
1)VLDL should be high
2)LDL should be low
3)Total cholesterol levels do not give sufficient information
4)HDL should be low

Question 16

Which lifestyle changes should the nurse recommend to the client to lower blood lipid levels? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Increased exercise
2)Restriction of dietary unsaturated fat
3)Smoking cessation
4)Taking medication
5)Restricting dietary cholesterol

Question 17

The client asks the nurse how atorvastatin (Lipitor)will help lower cholesterol.Which response by the nurse is most appropriate?
1)Its action is not understood.
2)It makes the body excrete cholesterol quicker.
3)It binds to cholesterol and inhibits its production.
4)It interferes with how cholesterol is made.

Question 18

What drug classification is considered the drug of choice to decrease triglyceride levels?
1)Statin
2)Fibric acid agents
3)Bile acid agents
4)HMG-CoA reductase inhibitors

Question 19

The nurse is educating a group of clients on how high cholesterol leads to heart disease.Which explanation regarding high cholesterol is most appropriate?
1)It interferes with the conduction system of the heart.
2)It binds to vessel walls,decreasing the amount of blood getting to the heart.
3)It thickens the blood,causing clots.
4)It damages the heart muscle.

Question 20

The nurse is caring for a client who has high cholesterol.The client asks which type of cholesterol is the good cholesterol.Which response by the nurse is most appropriate?
1)VLDL
2)LDL
3)Triglycerides
4)HDL

Question 21

Which drugs are often combined with statins for an enhanced lipid-lowering effect to lower triglycerides?
1)Bile acid binding drugs
2)Niacin
3)Fibric acid
4)HMG-CoA

Question 22

The client has been taking niacin.Which statement by the client describes how this medication works?
1)It decreases VLDL levels and increases HDL levels.
2)The medication works immediately.
3)It works by binding bile acid in the intestines.
4)It is a vitamin C replacement.

Question 23

The nurse is caring for a client who is prescribed ezetimibe (Zetia).Which teaching by the nurse regarding this medication is the most appropriate?
1)It works in the small intestine to block absorption of dietary cholesterol.
2)It causes rhabdomyolysis.
3)It increases LDL levels.
4)It increases triglyceride levels.

Question 24

What is the best explanation for why combination drugs may improve compliance for clients on multiple medications?
1)There are no side effects to combination drugs.
2)The physician can prescribe a combination drug to prevent rhabdomyolysis.
3)The client can obtain with a prescription.
4)Taking one tablet is easier to remember.

Question 25

The nurse has just completed medication teaching regarding medications used to treat high cholesterol.Which statement made by the client indicates a need for further teaching?
1)"I can eat any food I want as long as I take my medications."
2)"I need to call the physician if I experience severe muscle weakness."
3)"I should take my medications every day."
4)"A low-fat diet needs to be followed even with medications to treat high cholesterol."

Question 26

What should the nurse instruct the client to perform in order to decrease mouth irritation and constipation while taking a bile acid binding drug?
1)"Take with coffee to increase the effect of the drug."
2)"Dissolve in water and increase fluid intake."
3)"Decrease fluid intake."
4)"Chew tablets."