Nokea
A nurse is caring for a client who has been prescribed colestipol granules. Which of the following would the nurse do when administering the drug to the client?
- A. Mix the granules in 2 to 6 fluid ounces of water
- B. Take care not to crush the granules
- C. Give the granules once or twice daily with meals
- D. Mix the drug in 90 mL of liquid
Correct Answer: D
Rationale: The nurse should mix the drug in 90 mL of liquid, soups, cereals, carbonated drinks, or pulpy fruits when administering the colestipol granules to the client. Cholestyramine powder is mixed in 2 to 6 fluid ounces of water. Colestipol tablets are not crushed. Colesevelam tablets are taken once or twice daily with meals.
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Prior to administering an antihyperlipidemic drug to a client, which of the following would the nurse assess?
- A. Dietary history
- B. Vital signs
- C. Blood glucose
- D. Weight
- E. Input and output
Correct Answer: A,B,D
Rationale: Before administering an antihyperlipidemic drug, the nurse would assess a lipid profile, liver function tests, dietary history, vital signs, and weight and inspect for xanthomas.
The nurse is preparing a client for discharge. The client is prescribed antihyperlipidemic drug therapy. The nurse would include which of the following in the discharge teaching?
- A. Reason for taking the prescribed drug
- B. Drug name
- C. Correct dose
- D. Frequency of administration
- E. Dosage form
Correct Answer: A,B,C,D,E
Rationale: The nurse should review the reasons for the drug and prescribed therapy, including drug name, form and method of preparation, correct dose, and frequency of administration, as part of a client's discharge counseling.
When reviewing a client's history, the nurse notes that the client uses garlic to promote cardiovascular health. The nurse understands that which of the following is a benefit of its use?
- A. Improved LDL-to-HDL ratio
- B. Lower serum triglyceride levels
- C. Lower blood pressure
- D. Prevention of atherosclerosis
- E. Reduced risk for blood clots
Correct Answer: B,C,D
Rationale: The benefits of garlic include lowering serum cholesterol and triglyceride levels, improving the ratio of HDL to LDL cholesterol, lowering blood pressure, and helping to prevent the development of atherosclerosis.
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.
A nurse is caring for a client taking a cholestyramine drug. What instructions should the nurse give to this client to prevent constipation?
- A. Eat foods high in dietary fiber
- B. Follow a complete liquid diet
- C. Be sure to stay on complete bed rest
- D. Take the water-soluble form of vitamin A
Correct Answer: A
Rationale: The nurse should instruct the client taking a cholestyramine drug to eat foods high in dietary fiber to prevent constipation. The nurse need not instruct the client to have a complete liquid diet or complete bed rest, instead, the nurse should instruct the client to exercise to prevent constipation. Clients are asked to take a water-soluble form of vitamin A if they are experiencing impaired digestion of fats and absorption of the fat-soluble vitamins due to long-term therapy of bile acid sequestrants.