Deck 46: Antihyperlipidemics and Peripheral Vasodilators

Question 1

The nurse assesses a client for side effects of lovastatin (Mevacor). Which symptom would be least likely to be associated with Mevacor?

A) Headache
B) Tachycardia
C) Gastrointestinal (GI) disturbances
D) Dizziness

Answer 1

Tachycardia

Question 2

The client is taking fenofibrate (Tricor). The highest priority nursing intervention with this medication is to monitor serum:

A) potassium.
B) glucose.
C) creatinine.
D) sodium.

Answer 2

creatinine.

Question 3

Which laboratory test would be highest priority for the nurse to monitor while a client receives treatment with the statin medications?

A) CBC
B) Electrolytes
C) Liver enzymes
D) Urinalysis

Answer 3

Liver enzymes

Question 4

The client is scheduled to begin treatment with Isoxsuprine. In preparing the teaching plan for the client, the nurse anticipates that the client will be taking the drug _____ daily.

A) once
B) 1 to 2 times
C) 2 to 3 times
D) 3 to 4 times

Question 5

The client is being treated with Atorvastatin (Lipitor). He tells the nurse that he has been self-medicating at home with antacids. The nurse anticipates that the interaction of the two drugs will produce a(n) _____ effect from the _____.

A) increased; Atorvastatin (Lipitor)
B) decreased; Atorvastatin (Lipitor)
C) increased; antacids
D) decrease; antacids

Question 6

A client is to receive simvastatin (Zocor) to reduce serum cholesterol levels. The nurse recommends to the client that the best time to take this medication is:

A) before breakfast.
B) during meals.
C) in the mid-afternoon.
D) in the evening.

Question 7

A client is receiving atorvastatin (Lipitor) for high blood cholesterol level. Which sign warrants the client's immediate contacting of the healthcare provider?

A) Muscle tenderness
B) Gastrointestinal distress
C) Constipation
D) Flushing of the skin

Question 8

A client diagnosed with hyperlipidemia has been prescribed cholestyramine (Questran). Which of the following instructions will the nurse include in the client's teaching plan?

A) Mix powder sparingly with fluid.
B) Eat a low-fiber diet.
C) Mix powder well with fluid.
D) Take an antidiarrheal agent if diarrhea occurs.

Question 9

Which symptom would be highest priority for the nurse to monitor while the client is being treated with peripheral vasodilators?

A) Bradycardia
B) Dizziness
C) Headache
D) Pallor

Question 10

A client's serum cholesterol level is 268 mg/dl. Lovastatin (Mevacor) is prescribed. A positive outcome of treatment with the medication is ________ of cholesterol.

A) inhibition of hepatic synthesis
B) stimulation of hepatic synthesis
C) an increase in renal excretion
D) an increase in fecal excretion

Question 11

The level of risk for coronary artery disease for a client with a serum cholesterol level of 270 mg/dl is _____ risk.

A) low
B) moderate
C) high
D) no

Question 12

A nurse is monitoring a client after the client has received pentoxifylline (Trental) for treatment of intermittent claudication. Which effect indicates a positive response to the medication?

A) Increased claudication
B) Bradycardia
C) Decrease in pain
D) Orthostatic hypotension

Question 13

The client is being treated with ergoloid mesylates (Hydergine). The nurse determines that the medication is producing a positive outcome for the client when the client is noted to be exhibiting a(n):

A) improvement in mood.
B) decrease in blood pressure.
C) decrease in serum cholesterol.
D) change in GI functioning.

Question 14

A nurse is teaching a client about the treatment of hyperlipidemia and use of statin drugs. What do the instructions include?

A) "This treatment is only temporary."
B) "Diet and exercise are secondary to treatment."
C) "Annual eye examinations are recommended."
D) "Diarrhea is a common side effect."