Question 1

Which is a goal of antianginal therapy?

Accepted Answer

The goal of antianginal therapy is to reduce the frequency of angina episodes. Options A, B, and C are not the goals of antianginal therapy, as increasing blood flow to the peripheral blood vessels, increasing myocardial contractility, and increasing the oxygen consumption of the heart may exacerbate angina symptoms.

Question 2

Which statement indicates that a client understands teaching about atorvastatin (Lipitor)?

Accepted Answer

Atorvastatin is contraindicated in pregnancy due to potential harm to the fetus, so the client should stop taking it if planning to become pregnant.

Question 3

The nurse educator is teaching a group of students about HMG-CoA Reductase medications. At the end of the lesson she asks the students to identify drugs in this class. What is the most accurate response of the students?

Accepted Answer

The answer of The nurse educator is teaching a group...

Question 4

MCSA Which of the following classifications of antihyperlipidemics act by decreasing levels of VLDL

Accepted Answer

Nicotinic Acid (Niacin) decreases the production of VLDL in the liver, which in turn lowers LDL levels.

Question 5

The nurse is preparing to discharge a client from a medical-surgical unit. The client is going home on niacin therapy to decrease blood cholesterol levels. In educating the client on medication safety, which adverse effects should the client report to the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to discharge a...

Question 6

Niacin and aspirin have been prescribed for a client diagnosed with hyperlipidemia. Which statement regarding why this drug combination is prescribed is the most accurate?

Accepted Answer

Aspirin is often prescribed to be taken with niacin to decrease discomfort associated with niacin therapy, particularly flushing and itching. Aspirin does not increase the therapeutic effect of niacin, prevent joint pain, or treat severe headaches associated with niacin therapy.

Question 7

The nurse is teaching a client regarding therapeutic lifestyle changes that can be implemented to control cholesterol levels in the blood. Which statements made by the client indicate an appropriate understanding of the teaching session? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The appropriate lifestyle changes to control cholesterol levels include maintaining an optimal weight, implementing a medically supervised exercise plan, and eliminating tobacco use. Increasing intake of dietary saturated fats and cholesterol and decreasing soluble fiber in the diet are incorrect choices and can worsen the cholesterol levels.

Question 8

The nurse is caring for a client taking both gemfibrozil (Lopid) and warfarin (Coumadin). To maintain safety relative to the interaction of these drugs, the nurse should monitor the client closely for which clinical manifestation?

Accepted Answer

Gemfibrozil (Lopid) can potentiate the anticoagulant effect of warfarin (Coumadin), increasing the risk of bleeding. Therefore, the nurse should closely monitor the client for any signs or symptoms of bleeding, such as hematoma, ecchymosis, or bleeding from mucous membranes. Myolysis (A) is not a common side effect of either drug, and hyperlipidemia (D) is not a concern in this situation. While clot formation (B) is a risk associated with warfarin, gemfibrozil does not interact in a way that exacerbates this risk.

Question 9

A nurse on a med-surg unit is reviewing different classifications of medications used to decrease blood cholesterol levels with a new nurse on the floor. What does the new nurse correctly identify as fibric acid agents? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A nurse on a med-surg unit is...

Question 10

The nurse is planning care for a client who is receiving drug therapy for a lipid disorder. What outcomes depict that the client is experiencing the therapeutic effects of the medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Lowered total cholesterol, lowered LDL, and increased HDL are all outcomes that depict the client is experiencing the therapeutic effects of medication for a lipid disorder. Elevated liver enzymes and decreased BUN and creatinine are not appropriate outcomes for lipid-lowering medications.

Question 11

A client taking gemfibrozil (Lopid) and rosuvastatin (Crestor) reports muscle and joint pain. What does the nurse recognize as the significance of these symptoms?

Accepted Answer

Gemfibrozil and rosuvastatin can cause myopathy, which is characterized by muscle pain, weakness, and tenderness. This combination of medications increases the risk of myopathy, especially in older adults and those with renal impairment. The client should be assessed for symptoms of myopathy and liver function should be monitored regularly.

Question 12

The nurse is assigned to care for a client who is prescribed cholestyramine (Questran). To maintain safety for this client relative to potential effects of this drug, the nurse should monitor which laboratory test?

Accepted Answer

Cholestyramine can potentially cause liver toxicity, so monitoring serum transaminases (specifically alanine aminotransferase [ALT] and aspartate aminotransferase [AST]) is important to ensure liver function. Monitoring other laboratory tests, such as serum glucose, neutrophil count, and potassium level, may be important for other medications or health conditions, but not specifically for cholestyramine.

Question 13

A client is being discharged after a hospital admission for chest pain with a multidrug regimen that includes a new prescription for cholestyramine (Questran). What should the nurse include in discharge teaching about this drug?

Accepted Answer

Cholestyramine is a bile acid sequestrant used to reduce cholesterol levels. It must be mixed with liquid and taken as a suspension. Therefore, the nurse should include instructions for the client about how to prepare and take the medication. The other options listed are not correct. Bloating or constipation are common side effects of cholestyramine, but discontinuing the medication is not recommended unless the side effects are severe or persistent. Cholestyramine does not affect kidney function and does not interact with vitamin supplements.

Question 14

The nurse is reviewing the adverse effects associated with statins with a client who is prescribed this classification of medication to reduce blood cholesterol levels. The nurse knows the client has understood the teaching when the client states which serious adverse effects are associated with statins? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Myopathy and rhabdomyolysis are serious adverse effects associated with statins. Headache, abdominal pain, and muscle or joint pain may be common side effects but are not typically considered serious or life-threatening.

Question 15

The nurse is providing teaching to a client who has been placed on oral cholestyramine for management of a lipid disorder. Which statement by this client indicates the need for further teaching about this drug?

Accepted Answer

The client should not stop taking their daily multivitamin while taking cholestyramine as it can bind and decrease the absorption of certain vitamins. The other statements demonstrate understanding of the medication's administration and potential interactions.

Question 16

A client who takes Atorvastatin (Lipitor) daily has been prescribed erythromycin for sinusitis. Considering this combination of drugs, which side effect should the nurse monitor for?

Accepted Answer

The combination of Atorvastatin and erythromycin can increase the risk of muscle pain and weakness, a condition known as rhabdomyolysis. Therefore, the nurse should monitor the client for any new onset muscle pain or weakness, especially in the legs, which could be a sign of this serious adverse reaction.

Question 17

MCSA Nursing students are preparing a peer presentation on drugs used to treat hyperlipidemia. What do the students include as the mechanism of action of HMG-CoA Reductase Inhibitors.

Accepted Answer

HMG-CoA reductase inhibitors, also known as statins, work by inhibiting the enzyme HMG-CoA reductase, which is necessary for the synthesis of cholesterol in the liver. This decreases the amount of LDL cholesterol in the bloodstream.

Question 18

A nurse is evaluating outcomes of teaching for a client with a new prescription for Atorvastatin (Lipitor). Which response indicates that the client has understood teaching about this drug?

Accepted Answer

Atorvastatin is contraindicated in pregnancy due to potential harm to the fetus, so the client should stop taking it if trying to get pregnant.

Question 19

Which statement indicates that a client has understood instructions about cholestyramine?

Accepted Answer

The answer of Which statement indicates that a client has...

Question 20

A client is being discharged home with a diagnosis of stable angina. What statement by the client indicates an understanding of the cause of angina?

Accepted Answer

Angina is caused by a lack of oxygen getting to the heart muscle, usually due to narrowed or blocked arteries (atherosclerosis) that supply blood to the heart muscle. Option A is incorrect because remodeling of the heart muscle is not a cause of angina. Option B is incorrect because the heart's pumping ability is not usually affected in angina. Option D is incorrect because irregular heartbeats (arrhythmias) are not a common cause of stable angina.

Quiz 11: Pharmacology of Alterations in the Cardiovascular System

Which is a goal of antianginal therapy?

Which statement indicates that a client understands teaching about atorvastatin (Lipitor) ?

The nurse educator is teaching a group of students about HMG-CoA Reductase medications. At the end of the lesson she asks the students to identify drugs in this class. What is the most accurate response of the students?

MCSA Which of the following classifications of antihyperlipidemics act by decreasing levels of VLDL

Niacin and aspirin have been prescribed for a client diagnosed with hyperlipidemia. Which statement regarding why this drug combination is prescribed is the most accurate?

The nurse is caring for a client taking both gemfibrozil (Lopid) and warfarin (Coumadin) . To maintain safety relative to the interaction of these drugs, the nurse should monitor the client closely for which clinical manifestation?

A client taking gemfibrozil (Lopid) and rosuvastatin (Crestor) reports muscle and joint pain. What does the nurse recognize as the significance of these symptoms?

The nurse is assigned to care for a client who is prescribed cholestyramine (Questran) . To maintain safety for this client relative to potential effects of this drug, the nurse should monitor which laboratory test?

A client is being discharged after a hospital admission for chest pain with a multidrug regimen that includes a new prescription for cholestyramine (Questran) . What should the nurse include in discharge teaching about this drug?

The nurse is providing teaching to a client who has been placed on oral cholestyramine for management of a lipid disorder. Which statement by this client indicates the need for further teaching about this drug?

A client who takes Atorvastatin (Lipitor) daily has been prescribed erythromycin for sinusitis. Considering this combination of drugs, which side effect should the nurse monitor for?

MCSA Nursing students are preparing a peer presentation on drugs used to treat hyperlipidemia. What do the students include as the mechanism of action of HMG-CoA Reductase Inhibitors.

A nurse is evaluating outcomes of teaching for a client with a new prescription for Atorvastatin (Lipitor) . Which response indicates that the client has understood teaching about this drug?

Which statement indicates that a client has understood instructions about cholestyramine?

A client is being discharged home with a diagnosis of stable angina. What statement by the client indicates an understanding of the cause of angina?