Question 1

The nurse is caring for a client diagnosed with coronary artery disease.When examining the results of laboratory tests,the nurse notes that which findings are consistent with this diagnosis?

Accepted Answer

A)  Decreased total serum cholesterol and LDL,and elevated HDL
B)  Elevated total serum cholesterol,LDL,and HDL
C)  Elevated total serum cholesterol and LDL,and decreased HDL
D)  Decreased total serum cholesterol,LDL,and HDLE) C) and D)
F) A) and C)

Question 2

The nurse is reviewing a client's laboratory results.Which finding is of most concern?

Accepted Answer

A)  HDL cholesterol 62 mg/dL
B)  Triglycerides 349 mg/dL
C)  LDL cholesterol 92 mg/dL
D)  Total cholesterol 202 mg/dLE) A) and D)
F) A) and B)

Question 3

Which goal is appropriate for a person attempting to control cholesterol and low-density lipoprotein levels?

Accepted Answer

A)  Limit cholesterol intake to less than 200 mg daily.
B)  Limit saturated fat intake to less than 15% of total calories.
C)  Limit dietary fat to less than 50% of total calories.
D)  Increase plant sterol intake to 1-2 grams daily.E) B) and D)
F) C) and D)

Question 4

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

A)  "You must carefully follow instructions for mixing this drug with liquid."
B)  "If you experience bloating or constipation,you should stop taking this drug."
C)  "We will monitor your kidney function while you are taking this drug."
D)  "Do not take vitamin supplements while taking cholestyramine."E) B) and C)
F) B) and D) A

Question 5

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 associated with statins?
Select all that apply.

Accepted Answer

A)  Headache
B)  Abdominal pain
C)  Myopathy
D)  Muscle or joint pain
E)  RhabdomyolysisF) A) and E)
G) A) and B)

Question 6

The nurse is teaching a client with elevated LDL cholesterol and decreased HDL cholesterol about strategies to manage this disorder.The client asks the nurse why there is a difference in the direction of change in the goals for altering HDL versus LDL cholesterol.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "It is most important to increase HDL cholesterol,and if we can reduce LDL cholesterol also,that might be of some help."
B)  "We want to reduce HDL cholesterol and increase LDL cholesterol because these changes will protect you against atherosclerosis."
C)  "We want to increase HDL cholesterol,which helps rid the body of excess cholesterol,and to decrease LDL cholesterol,which carries excess cholesterol to the body tissue to be stored."
D)  "I think you have misunderstood what I have told you,since we want both values to be reduced."E) A) and B)
F) A) and C)

Question 7

A client who takes avorstatin (Lipitor) daily has been prescribed erythromycin for sinusitis.To prevent consequences of an adverse effect of this combination of drugs,it is most important for the nurse to monitor this client for which clinical manifestation?

Accepted Answer

A)  Lack of expected response to erythromycin.
B)  New onset of muscle pain.
C)  Abdominal pain and cramping.
D)  Bleeding from the oral cavity and bruising.E) All of the above
F) A) and B)

Question 8

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?
Select all that apply.

Accepted Answer

A)  Nausea
B)  Vomiting
C)  Stomach pain
D)  Joint pain
E)  JaundiceF) C) and D)
G) A) and E) C,D,E

Question 9

The nurse is evaluating a client's response to teaching about managing dyslipidemia.Which statement by this client indicates that additional teaching is needed?

Accepted Answer

A)  "I will read labels carefully so my daily cholesterol intake is no more than 200 mg."
B)  "I will include several servings of soybeans in what I eat each week,since they provide lecithin."
C)  "I will switch to using olive oil for cooking."
D)  "I will decrease my intake of both cholesterol and saturated fat."E) A) and D)
F) None of the above

Question 10

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

A)  "I will avoid taking this drug with meals."
B)  "I might need to increase my dose of digoxin while I am taking this drug."
C)  "I will stop taking this drug if I am trying to get pregnant."
D)  "I should always take this drug right before breakfast."E) A) and D)
F) A) and C)

Question 11

The nurse is teaching a client who has been prescribed medication to manage HDL cholesterol.Which statement by the client indicates that the teaching has been understood?

Accepted Answer

A)  "Treatment of HDL cholesterol will also decrease my LDL cholesterol level."
B)  "Treatment of HDL cholesterol will also raise my LDL cholesterol level."
C)  "If I can increase my HDL level,I will be less likely to have a heart attack."
D)  "If I can decrease my HDL level,I will be less likely to have a heart attack."E) B) and D)
F) None of the above C

Question 12

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

A)  Myolysis
B)  Clot formation
C)  Bleeding
D)  HyperlipidemiaE) A) and B)
F) A) and C)

Question 13

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?
Select all that apply.

Accepted Answer

A)  I will maintain an optimal weight."
B)  I will implement a medically supervised exercise plan."
C)  I will increase intake of dietary saturated fats and cholesterol."
D)   I will decrease soluble fiber in my diet."
E)  I will eliminate tobacco use."F) A) and D)
G) B) and D)

Question 14

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

Accepted Answer

A)  "I should always take this drug on an empty stomach."
B)  "I should stop taking this drug if I decide to try to become pregnant."
C)  "I might have to increase my dose of digoxin."
D)  "I should take this drug with breakfast."E) A) and B)
F) A) and C)

Question 15

An adult client is 75 pounds over the ideal weight,eats a diet high in carbohydrates,and drinks 3-4 alcoholic beverages daily.Which pattern of dyslipidemia most likely fits all the findings and behaviors demonstrated by this client?

Accepted Answer

A)  Elevated VLDL,triglycerides,and cholesterol; glucose intolerance
B)  Elevated chylomicrons,normal cholesterol,triglycerides more than three times normal
C)  Elevated LDL,VLDL,total cholesterol,chylomicrons; triglycerides more than three times normal
D)  Elevated LDL and total cholesterol,normal VLDL and triglyceridesE) A) and B)
F) None of the above

Question 16

Cholesterol,triglycerides,and phospholipids travel between the liver and peripheral tissues through which mechanism?

Accepted Answer

A)  Bound to apoproteins
B)  As unbound free molecules
C)  Bound to albumin
D)  Bound separately in molecule complexesE) C) and D)
F) None of the above

Question 17

The nurse is teaching a client about reducing the risk for coronary artery disease.An elevation in which laboratory value is most directly associated with atherosclerosis,leading to coronary artery disease?

Accepted Answer

A)  Total cholesterol
B)  Very low-density lipoprotein (VLDL) 
C)  Low-density lipoprotein (LDL) 
D)  High-density lipoprotein (HDL) E) A) and D)
F) C) and D)

Question 18

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

A)  A common side effect of niacin therapy is joint pain."
B)  Taking niacin and aspirin together increases the therapeutic effect of niacin."
C)  Aspirin can decrease discomfort associated with niacin therapy."
D)  Severe headaches are common during the early weeks of niacin therapy."E) C) and D)
F) B) and C)

Question 19

The nurse planning care for a client newly diagnosed with elevated serum cholesterol,triglycerides,and LDL initiates a dietary consult for which reason?

Accepted Answer

A)  This particular pattern of dyslipidemia is not amenable to pharmacological agents.
B)  Nonpharmacologic approaches to dyslipidemia should be initiated before pharmacologic agents are prescribed.
C)  These levels are sufficiently high that pharmacologic intervention alone is unlikely to be successful.
D)  Dietary modifications can be useful for lipid disorders,but only as an adjunct intervention after pharmacologic therapy for clients has been initiated.E) All of the above
F) None of the above

Question 20

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

A)  Hepatic injury
B)  Peripheral neuropathy
C)  Myopathy
D)  An inflammatory responseE) None of the above
F) C) and D)

Exam 29: Pharmacotherapy of Hyperlipidemia

The nurse is caring for a client diagnosed with coronary artery disease.When examining the results of laboratory tests,the nurse notes that which findings are consistent with this diagnosis?

Correct Answer
verified

The nurse is reviewing a client's laboratory results.Which finding is of most concern?

Correct Answer
verified

Which goal is appropriate for a person attempting to control cholesterol and low-density lipoprotein levels?

Correct Answer
verified

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?

Correct Answer
verified
A

Correct Answer
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Correct Answer
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A client who takes avorstatin (Lipitor) daily has been prescribed erythromycin for sinusitis.To prevent consequences of an adverse effect of this combination of drugs,it is most important for the nurse to monitor this client for which clinical manifestation?

Correct Answer
verified

Correct Answer
verified
C,D,E

The nurse is evaluating a client's response to teaching about managing dyslipidemia.Which statement by this client indicates that additional teaching is needed?

Correct Answer
verified

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?

Correct Answer
verified

The nurse is teaching a client who has been prescribed medication to manage HDL cholesterol.Which statement by the client indicates that the teaching has been understood?

Correct Answer
verified
C

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?

Correct Answer
verified

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? Select all that apply.

Correct Answer
verified

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

Correct Answer
verified

An adult client is 75 pounds over the ideal weight,eats a diet high in carbohydrates,and drinks 3-4 alcoholic beverages daily.Which pattern of dyslipidemia most likely fits all the findings and behaviors demonstrated by this client?

Correct Answer
verified

Cholesterol,triglycerides,and phospholipids travel between the liver and peripheral tissues through which mechanism?

Correct Answer
verified

The nurse is teaching a client about reducing the risk for coronary artery disease.An elevation in which laboratory value is most directly associated with atherosclerosis,leading to coronary artery disease?

Correct Answer
verified

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?

Correct Answer
verified

The nurse planning care for a client newly diagnosed with elevated serum cholesterol,triglycerides,and LDL initiates a dietary consult for which reason?

Correct Answer
verified

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?

Correct Answer
verified

Exam 29: Pharmacotherapy of Hyperlipidemia

The nurse is caring for a client diagnosed with coronary artery disease.When examining the results of laboratory tests,the nurse notes that which findings are consistent with this diagnosis?

Correct AnswerverifiedShow Answer

The nurse is reviewing a client's laboratory results.Which finding is of most concern?

Correct AnswerverifiedShow Answer

Which goal is appropriate for a person attempting to control cholesterol and low-density lipoprotein levels?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A client who takes avorstatin (Lipitor) daily has been prescribed erythromycin for sinusitis.To prevent consequences of an adverse effect of this combination of drugs,it is most important for the nurse to monitor this client for which clinical manifestation?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC,D,E

The nurse is evaluating a client's response to teaching about managing dyslipidemia.Which statement by this client indicates that additional teaching is needed?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

The nurse is teaching a client who has been prescribed medication to manage HDL cholesterol.Which statement by the client indicates that the teaching has been understood?

Correct AnswerverifiedC

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?

Correct AnswerverifiedShow Answer

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? Select all that apply.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

An adult client is 75 pounds over the ideal weight,eats a diet high in carbohydrates,and drinks 3-4 alcoholic beverages daily.Which pattern of dyslipidemia most likely fits all the findings and behaviors demonstrated by this client?

Correct AnswerverifiedShow Answer

Cholesterol,triglycerides,and phospholipids travel between the liver and peripheral tissues through which mechanism?

Correct AnswerverifiedShow Answer

The nurse is teaching a client about reducing the risk for coronary artery disease.An elevation in which laboratory value is most directly associated with atherosclerosis,leading to coronary artery disease?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

The nurse planning care for a client newly diagnosed with elevated serum cholesterol,triglycerides,and LDL initiates a dietary consult for which reason?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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A

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C,D,E

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C

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Correct Answer
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