The nurse instructs a client receiving lovastatin for treatment of hypercholesterolemia

When evaluating a client for risk factors for the development of atherosclerosis, the nurse should be concerned about which of the following?

low-density lipoprotein 130 mg/dL
LDL level should be less than 100 mg/dL.

The nurse should include which of the following when teaching a client prescribed cholestyramine?

Mix the drug with a liquid or soft food

When teaching a client about the recommended serum cholesterol level for an adult, the nurse instructs the client to try to achieve:

cholesterol level of 170 mg/dL

When teaching a client who is prescribed niacin to decrease triglyceride levels and raise HDL levels, the nurse should instruct the client that:

in high doses, niacin is very effective in decreasing triglyceride levels and raising HDL levels.

When teaching the client about cholesterol, the nurse should instruct the client that the highest level of cholesterol is found in:

LDL. LDL contains the highest level of cholesterol.

Colestipol HCl is MOST similar in action to:

cholestyramine.
Cholestyramine acts similarly to colestipol HCl.

When evaluating a client for an end point for therapy with an HMG-CoA reductase inhibitor, the nurse monitors to detect when

transaminase levels rise and remain at three times the upper limit of normal.
This value is consistent with discontinuing HMG-CoA reductase inhibitor therapy.

In addition to niacin, the client is on antihypertensive therapy. When caring for this client, the nurse should:

monitor the client for hypotension
Both medications cause peripheral

In teaching a client about hyperlipidemia, the nurse should include that:

usually, drug therapy is used in conjunction with dietary modification.

Which of the following medications, if prescribed to a pregnant woman, would the nurse question?

lovastatin-: HMG-CoA reductase inhibitors have a Pregnancy X rating because they can cause harm to the growing fetus.

Which of the following should be included in client teaching for clients on lovastatin (Mevacor) therapy?

Liver function studies should be monitored.

When teaching a client about atorvastatin, the nurse should include information about when to schedule follow-up visits with the health care provider for lab work. What should the nurse tell the client?

Liver function tests will need to be done every 4 to 6 weeks for the first 3 months.

When teaching a client prescribed atorvastatin, the nurse should instruct the client that:

maximal effects occur by 4 to 6 weeks. Correct: HMG-CoA reductase inhibitors reach maximal effects by 4 to 6 week

Clients taking antilipidemia agents should be taught:

to consume 2 to 3 liters of fluid per day.

The client asks the nurse if he can still drink his six-pack of beer in the evening while taking simvastatin. The nurse’s best reply is:

“Alcohol can cause liver damage that may increase in simvastatin, but we can provide you with support to stop drinking.”

When teaching a client who is prescribed an antilipidemia drug, the nurse should instruct the client:

“Compliance with therapy is crucial to success.”

The nurse recruit is correct when he or she makes which of the following statements concerning simvastatin?

“Adverse effects include nausea and vomiting.”

The nurse knows the client receiving WelChol understands his instructions when he states which of the following?

“I need to report unusual bleeding or bruising.”

Which of the following instructions are appropriate for a client receiving Colestid?

“You might experience dyspepsia as an adverse effect.”
Dyspepsia is an adverse effect of Colestid.

Which of the following would NOT be monitored for clients receiving Lopid?

cardiac enzymes-Cardiac enzymes would not be monitored, unless there is another underlying condition requiring this.

Exchange resins may produce a deficiency of which of the following?

tocopherol-Exchange resins may produce a deficiency of fat-soluble vitamins.
B Incorrect: Ascorbic acid is not a fat-soluble vitamin.

The client is receiving simvastatin single daily dose therapy. The nurse should instruct the client to schedule the medication:

in the evening, because cholesterol is synthesized between midnight and 3 a.m.

The nurse should monitor clients taking exchange resins for which of the following? Select all that apply.

a. fat-soluble vitamin deficiencies
c. epistaxis
d. bruising

Which of the following statements are true concerning rosuvastin?

a. The medication inhibits the synthesis of cholesterol, resulting in reduced plasma concentration of LDL.
b. The medication causes reduction of total cholesterol.
c. There is a possible link between rosuvastatin and an increased risk of myopathy.
d. There is a possible link between rosuvastatin and an increased risk of rhabdomyolysis.
f. Liver function should be tested before beginning therapy and should be monitored during therapy.

The client receiving Lovaza should be monitored for which of the following adverse effects? Select all that apply.

a. dyspepsia
c. dysphagia
d. change in sense of taste
e. increased risk of infection

The client is receiving fluvastatin. Which of the following information is correct concerning this medication? Select all that apply

a. URI is an adverse effect.
b. Dysgeusia is an adverse effect.
c. Alcohol increased fluvastatin absorption.
e. The client should practice reliable contraception.

Which of the following statements by a nurse recruit exhibits understanding of the medication Trilipix?

a. “Myalgia may be an adverse effect.”
b. “The medication can be taken without regard to food.”
d. “LFT must be monitored.”
e. “If Trilipix is used with warfarin, there is an increased risk of bleeding.”

Which of the following statements by the client indicates the need for further teaching concerning the use of Niacor

b. “I should avoid alcohol use.”
c. “I may itch.”
d. “I need to take the tablet with cold water at bedtime.”
e. “I need to follow a prescribed diet.”
f. “I may experience nausea and vomiting.”