Nokea
A nurse is caring for a client receiving gemfibrozil. Which of the following would the nurse include in the teaching plan for this client?
- A. Take the drug along with meals
- B. Observe caution while driving
- C. Take a single dose once daily in the evening
- D. Be alert for mild to severe facial flushing
Correct Answer: B
Rationale: When preparing a teaching plan for the client receiving the fibric acid derivative gemfibrozil, the nurse should instruct the client to observe caution while driving. Rosuvastatin calcium is taken as a single dose once daily in the evening. The nurse instructs a client prescribed nicotinic acid to take it along with meals; it may also cause mild to severe facial flushing.
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A nurse is obtaining a lipoprotein profile for a client diagnosed with hyperlipidemia. Which of the following measurements would be obtained?
- A. Total cholesterol
- B. Triglycerides
- C. LDL
- D. ALT
- E. AST
Correct Answer: A,B,C
Rationale: A lipoprotein profile is a laboratory test that reports total cholesterol, LDL, HDL, and triglycerides. AST and ALT are values that would be reported from liver function tests.
Which of the following should be included by the nurse during client teaching to improve client outcomes for a client receiving antihyperlipidemic drugs?
- A. Measures to minimize gastrointestinal upset
- B. Consultation with a dietitian for assistance with diet teaching
- C. Emphasis on the fact that drug therapy alone will significantly lower blood cholesterol levels
- D. Focus on the importance of taking drug exactly as prescribed
- E. Instruction in possible adverse reactions and signs and symptoms to report to primary health care provider
Correct Answer: A,B,D,E
Rationale: Client teaching includes measures to minimize gastrointestinal upset, consultation with a dietician to assist with diet planning and teaching, focus on the need to take the drug exactly as prescribed, and information about possible adverse reactions including those that need to be reported to the primary health care provider. The nurse should emphasize that drug therapy alone will NOT significantly lower blood cholesterol levels.
A client is experiencing constipation due to an antihyperlipidemic drug. The client asks the nurse how to manage this problem. Which suggestion would be most appropriate?
- A. Stop taking the antihyperlipidemic medication
- B. Increase your fluid intake
- C. Eat foods rich in dietary fiber
- D. Be sure to exercise every day
- E. Use a stool softener
Correct Answer: B,C,D,E
Rationale: Constipation resulting from an antihyperlipidemic drug can be treated by increasing fluid intake, consuming food rich in dietary fiber, exercising daily, and using a stool softener or laxative if needed.
A client is receiving pravastatin. The nurse understands that which of the following should be avoided with this client to prevent the risk of myopathy?
- A. Quinapril (Accupril)
- B. Niacin (Niaspan)
- C. Clarithromycin (Biaxin)
- D. Albuterol (Proventil)
- E. Verapamil (Calan)
Correct Answer: B,C,E
Rationale: Niacin, clarithromycin, and verapamil when coadministered to a client taking a statin, like pravastatin, can result in increased myopathy.
A client is prescribed nicotinic acid. When teaching the client about this drug, which of the following would the nurse include as a normal skin reaction that may occur?
- A. Flushing
- B. Sensations of warmth
- C. Tuggling
- D. Rash
- E. Pustule formation
Correct Answer: A,B,C
Rationale: Generalized skin flushing, a sensation of warmth, and severe itching and tingling can occur with the administration of nicotinic acid, especially at higher doses.