CHAPTER 21: AGENTS USED IN THE TREATMENT OF HYPERLIPIDEMIA

CHAPTER 21: AGENTS USED IN THE TREATMENT OF HYPERLIPIDEMIA

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

a.	high-density lipoprotein level 65 mg/dL	c.	family history of cigarette smoking
b.	hypotension	d.	low-density lipoprotein 130 mg/dL

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is an ideal HDL level.
B	Incorrect: Hypotension is not a risk factor.
C	Incorrect: Family history of cigarette smoking does not increase the client’s risk.
D	Correct: LDL level should be less than 100 mg/dL.

 

 

PTS:   1                    REF:   p. 515            OBJ:   Cognitive Level: Application

 

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

a.	Mix the drug with a liquid or soft food.
b.	Sprinkle the granules over a dry food.
c.	Take the drug with all other morning medications.
d.	Cholesterol levels will be lowered within a few days of initiating therapy.

 

 

ANS:  A

 

	Feedback
A	Correct: Cholestryramine is available in powdered form to be mixed with juice or soft foods.
B	Incorrect: Should be mixed with juice or soft foods.
C	Incorrect: This must not be administered one hour before or four hours after any other oral medication.
D	Incorrect: Therapy to decrease cholesterol takes up to a year or more.

 

 

PTS:   1                    REF:   p. 517            OBJ:   Cognitive Level: Application

 

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

a.	HDL of 35mg/dL.	c.	cholesterol level of 170 mg/dL.
b.	Hemoglobin level of 20 g/dL.	d.	triglyceride level of 200 mg/dL.

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is too low, leading to the client’s HDL to be too low.
B	Incorrect: This is too low, leading to the client’s HDL to be too low.
C	Correct: This is the range considered healthy for an adult.
D	Incorrect: This level is too high.

 

 

PTS:   1                    REF:   p. 515            OBJ:   Cognitive Level: Application

 

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

a.	in high doses, niacin is very effective in decreasing triglyceride levels and raising HDL levels.
b.	due to the low incidence of adverse effects, niacin is the drug of choice for reducing triglyceride levels and raising HDL levels.
c.	niacin is the most expensive of all drugs used to treat hyperlipidemia.
d.	niacin should be administered on an empty stomach.

 

 

ANS:  A

 

	Feedback
A	Correct: This statement about niacin is true.
B	Incorrect: This statement is not true, as niacin has so many adverse effects that it is considered by most health care providers to be undesirable
C	Incorrect: Niacin is the least expensive.
D	Incorrect: Niacin should be administered with or after meals.

 

 

PTS:   1                    REF:   p. 517            OBJ:   Cognitive Level: Application

 

5. The client asked the nurse about how colesevelam HCl works to decrease serum LDL. The nurse’s best response is:

a.	“It works by increasing the conversion of cholesterol to bile acids.”
b.	“It works by reducing the demand for cholesterol in liver cells.”
c.	“It works by lowering the clearance of LDL cholesterol in the blood.”
d.	“It works by decreasing the number of hepatic LDL receptors.”

 

 

ANS:  A

 

	Feedback
A	Correct: This is a true statement about colesevelam HC1.
B	Incorrect: Colesevelam HCl works by increasing the demand for cholesterol in liver cells.
C	Incorrect: Colesevelam HCl works by increasing the clearance of LDL cholesterol in the blood.
D	Incorrect: Colesevelam HCl works by increasing the number of hepatic LDL receptors.

 

 

PTS:   1                    REF:   p. 515            OBJ:   Cognitive Level: Application