Chapter 27: Antilipemic Drugs

Chapter 27: Antilipemic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?

a.	Pruritus, cutaneous flushing
b.	Tinnitus, urine with a burnt odor
c.	Myalgia, fatigue
d.	Blurred vision, headaches

 

 

ANS:  A

Possible adverse effects of nicotinic acid include pruritus, cutaneous flushing, and gastrointestinal distress. Tinnitus, urine with a burnt odor, and headaches are possible adverse effects of bile acid sequestrants. Headaches are also possible adverse effects of HMG-CoA reductase inhibitors, as are myalgia and fatigue.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 444

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A patient reports having adverse effects with nicotinic acid (niacin). The nurse can suggest performing which action to minimize these undesirable effects?

a.	Take the drug on an empty stomach.
b.	Take the medication every other day until the effects subside.
c.	Take an aspirin tablet 30 minutes before taking the drug.
d.	Take the drug with large amounts of fiber.

 

 

ANS:  C

The undesirable effects of nicotinic acid can be minimized by starting with a low initial dose, taking the drug with meals, and taking small doses of aspirin with the drug to minimize cutaneous flushing. Fiber intake has no effect on niacin’s adverse effects, and it is not within the nurse’s scope of practice to suggest a change of medication dosage.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 444

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this medication for administration?

a.	Mix the powder in a carbonated soda drink to dissolve it faster.
b.	Add the powder to any liquid, and stir vigorously to dissolve it quickly.
c.	Mix the powder with food or fruit, or at least 4 to 6 ounces of fluid.
d.	Sprinkle the powder into a spoon and take it dry, followed by a glass of water.

 

 

ANS:  C

Mix the powder with food or at least 4 to 6 ounces of fluid. The powder may not mix completely at first, but patients should be sure to mix the dose as much as possible and then dilute any undissolved portion with additional fluid. The powder should be dissolved for at least 1 full minute. Powder and granule dosages are never to be taken in dry form.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 447

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?

a.	Constipation
b.	Diarrhea
c.	Joint pain
d.	Dry mouth

 

 

ANS:  B

Fibric acid derivatives may cause nausea, vomiting, diarrhea, drowsiness, and dizziness. Other effects are listed in Table 27-8. The other options are not adverse effects of fibric acid derivatives.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 445

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies