Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
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CHAPTER 21: AGENTS USED IN THE TREATMENT OF HYPERLIPIDEMIA
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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