21.7: Review Questions
A nurse is explaining a client’s lipid panel results. Which statement by the client indicates a need for further teaching?
- Answer
-
“Medications can be used to increase my triglyceride levels.”
A nurse is explaining administration instructions for a client who is starting alirocumab, a PCSK9 inhibitor. Which statement will the nurse include in the instructions?
- Answer
-
It is self-administered as a subcutaneous injection by the client.
A client began treatment for severe hypertriglyceridemia and goes to the clinic for follow-up. Which medication does the nurse expect to find on the client’s home medication list?
- Answer
-
Fenofibrate
A client calls the nurse because they experienced intolerable flushing after taking over-the-counter niacin. Which intervention might the nurse recommend?
- Answer
-
Take aspirin 30 minutes before taking niacin.
A nurse is evaluating a follow-up lipid panel in a client who recently began taking ezetimibe. Which of the following changes would the nurse expect to see?
- Answer
-
Decreased LDL-cholesterol level
A nurse educator is training new nurses on the cardiac step-down unit about medications administered on the unit. Which statement indicates understanding of the drug cholestyramine?
- Answer
-
It is available as an oral powder that must be mixed with fluid before taking.
A client is admitted to the cardiac unit after undergoing stent placement after an acute myocardial infarction. The provider states that the client will need high-intensity statin therapy. Which medication does the nurse expect to be ordered for the client?
- Answer
-
Rosuvastatin
Which of the following statements is true about pravastatin?
- Answer
-
It is considered a hydrophilic statin, which means it may confer a lower risk of myalgia compared with other statins.
A client with a past medical history of CAD has been taking rosuvastatin 40 mg orally daily for 1 month and has a follow-up LDL-cholesterol level of 135 mg/dL, which exceeds their goal LDL-cholesterol level of 70 mg/dL. Which would be an appropriate next step for the client?
- Answer
-
Add ezetimibe for combination therapy.
A client is taking atorvastatin. Which severe adverse drug reaction should the client be monitored for?
- Answer
-
Rhabdomyolysis