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Chapter 41 (44) : Antihyperlipidemics and Peripheral Vasodilators McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition Exam Questions With Correct Answers$10.49
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Chapter 41 (44) : Antihyperlipidemics and Peripheral Vasodilators McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition Exam Questions With Correct Answers
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Chapter 41 : Antihyperlipidemics
Institution
Chapter 41 : Antihyperlipidemics
Chapter 41 (44) : Antihyperlipidemics
and Peripheral Vasodilators McCuistion:
Pharmacology: A Patient-Centered
Nursing Process Approach, 10th Edition
Exam Questions With Correct Answers
1. A female patient has serum lipid levels performed, which reveal a total cholesterol of 285
mg/dL, trigly...
BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
Chapter 41 (44) : Antihyperlipidemics
and Peripheral Vasodilators McCuistion:
Pharmacology: A Patient-Centered
Nursing Process Approach, 10th Edition
Exam Questions With Correct Answers
1. A female patient has serum lipid levels performed, which reveal a total cholesterol of 285
mg/dL, triglycerides of 188 mg/dL, a low-density lipoprotein (LDL) of 175 mg/dL, and a high-
density lipoprotein (HDL) of 40 mg/dL. The patient's blood pressure is 138/72 mm Hg.
The patient is currently not receiving any prescription medications. Which of the following
would be the most appropriate medication (or medications) to be started at this time?
a. Amlodipine and atorvastatin (Caduet)
b. Colestipol HCI (Colestid)
c. Fenofibrate (TriCor)
d. Atorvastatin (Lipitor) - answer✔✔ANS: D
Statins have actions in decreasing serum cholesterol, LDL, VLDL, and triglycerides, and they
slightly elevate HDL. Because the patient has elevated cholesterol levels, starting a statin at this
time would be appropriate and considered an appropriate first-line antihyperlipidemic therapy.
2. A patient has a serum cholesterol level of 270 mg/dL. The patient asks the nurse what this
level means. Which response by the nurse is correct?
A "You have a high cholesterol which places you at risk for coronary artery disease."
B You have a moderately elevated cholesterol and risk for coronary artery disease."
, BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
C You have a low risk for coronary artery disease."
D You have no risk for coronary artery disease. - answer✔✔ANS: A
A value of 270 mg/dL for serum cholesterol puts the patient at high risk.
3. A patient begins taking cholestyramine (Questran) to treat hyperlipidemia. The patient reports
abdominal discomfort and constipation. The nurse will provide which instruction to the patient?
a. Increase fluid intake and slowly increase fiber intake.
b. Stop taking the medication immediately.
c. Take an over-the-counter laxative.
d. Take the medication on an empty stomach. - answer✔✔Ans: A
Cholestyramine can cause gastrointestinal upset and constipation, and these symptoms can be
reduced with increased fluids and foods high in fiber. Stopping the medication is not indicated.
4. A patient has been taking cholestyramine (Questran) to treat hyperlipidemia. The patient
reports abdominal cramping and constipation. The patient's serum low-density lipoprotein (LDL)
has decreased from 170 to 110 mg/dL, and triglycerides have not changed from 150 mg/dL since
beginning the medication. The provider changes the medication to colesevelam HCI (Welchol).
The patient asks the nurse why the medication was changed, and the nurse will explain that
colesevelam HCI is ordered for which reason?
a. It has fewer side effects.
b. It has more convenient dosing.
c. It provides greater LDL reduction.
d. It provides greater triglyceride reduction. - answer✔✔ANS: A
Colesevelam is similar to cholestyramine but has fewer gastrointestinal side effects. This patient
has demonstrated good results with the bile acid sequestrant, so the provider has decided to offer
a preparation with fewer adverse effects. Both drugs are given twice daily.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A patient is admitted to the hospital, and the provider orders gemfibrozil (Lopid) 600 mg twice
daily, 30 minutes prior to meals. The nurse learns that the patient takes warfarin (Coumadin)
once daily. The nurse will contact the provider to discuss
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