Question 1

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 can increase the effects of warfarin, leading to an increased risk of bleeding. Therefore, the nurse should monitor the client closely for signs of bleeding such as bruising, petechiae, and excessive bleeding from wounds. Monitoring of the client's international normalized ratio (INR) may also be necessary. Myolysis, clot formation, and hyperlipidemia are not directly related to the interaction between gemfibrozil and warfarin.

Question 2

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

Accepted Answer

Atorvastatin (Lipitor) is a statin medication used to lower cholesterol. It is contraindicated in pregnancy due to the risk of harm to the fetus. Therefore, a client planning to become pregnant should stop taking the drug, indicating an understanding of the teaching.

Question 3

A seasoned nurse is reviewing the different classifications of medications that are used to decrease blood cholesterol levels with a new nurse on a medical-surgical unit.The seasoned nurse knows the new nurse has comprehended the information when she states which medications 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

Fibric acid agents, also known as fibrates, are a class of medications used to lower lipid levels, primarily triglycerides, and to a lesser extent, increase HDL cholesterol. Atromid-S (clofibrate) and Lopid (gemfibrozil) are examples of fibric acid agents.

Question 4

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

Lowering total cholesterol, lowering LDL, and increasing HDL are all therapeutic effects of medication for a lipid disorder. Elevated liver enzymes and decreased BUN and creatinine are not positive outcomes and may indicate adverse effects of the medication.

Question 5

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

Accepted Answer

Cholestyramine should be mixed with liquid and taken immediately to avoid throat and stomach irritation. It is important for the nurse to emphasize this to ensure the medication is taken correctly.

Question 6

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 cause liver toxicity, so the nurse should monitor the client's serum transaminases (AST and ALT) to assess liver function. Serum glucose is not specifically affected by this medication. Neutrophil count and serum potassium levels are also not typically affected by cholestyramine.

Question 7

The nurse educator is teaching a group of students about HMG-CoA Reductase medications.The nurse knows the students understood the lesson when they state which drugs as examples of this classification? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Lipitor, Lescol, and Mevacor are all HMG-CoA Reductase inhibitors, which are used to lower cholesterol levels in the blood. Questran and WelChol are not members of this drug class.

Question 8

A client taking gemfibrozil (Lopid)and rosuvastatin (Crestor)reports muscle and joint pain.The nurse's response is based on an interpretation that this complaint might indicate which manifestation?

Accepted Answer

Muscle and joint pain can be a sign of myopathy, a known side effect of both gemfibrozil and rosuvastatin. It is important to monitor the client for other signs of myopathy such as weakness and tenderness, and to consider discontinuing or adjusting the medication as needed. Hepatic injury and peripheral neuropathy are potential side effects of these medications but are not necessarily indicated by muscle and joint pain. An inflammatory response may also cause muscle and joint pain, but it is not the most likely explanation in this case given the client's medication regimen.

Question 9

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

Accepted Answer

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

Question 10

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,the nurse should instruct the client to report which adverse effects 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...

Quiz 29: Pharmacotherapy of Hyperlipidemia

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

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

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 taking gemfibrozil (Lopid) and rosuvastatin (Crestor) reports muscle and joint pain.The nurse's response is based on an interpretation that this complaint might indicate which manifestation?

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