1.
A nurse is explaining a client’s lipid panel results. Which statement by the client indicates a need for further teaching?
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“LDL-cholesterol is ‘bad cholesterol.’”
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“Medications can be used to increase my triglyceride levels.”
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“HDL-cholesterol is ‘good cholesterol.’”
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“Medications can decrease my cholesterol levels.”
2.
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?
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It can be taken orally at bedtime.
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It is self-administered as a subcutaneous injection by the client.
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It is administered as a subcutaneous injection by a health care professional.
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It comes in a powder form that must be mixed with liquid before taking.
3.
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?
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Ezetimibe
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Cholestyramine
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Colesevelam
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Fenofibrate
4.
A client calls the nurse because they experienced intolerable flushing after taking over-the-counter niacin. Which intervention might the nurse recommend?
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Take flush-free niacin.
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Switch to immediate-release niacin.
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Take aspirin 30 minutes before taking niacin.
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Take niacin with an alcoholic beverage.
5.
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?
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Decreased HDL-cholesterol level
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Decreased LDL-cholesterol level
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Increased triglyceride level
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Increased VLDL level
6.
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?
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It can cause diarrhea as the major adverse effect.
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It should be taken in the morning when cholesterol synthesis is highest.
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It is available as an oral powder that must be mixed with fluid before taking.
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It works primarily to lower triglyceride levels in clients with hypertriglyceridemia.
7.
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?
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Simvastatin
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Pravastatin
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Rosuvastatin
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Fluvastatin
8.
Which of the following statements is true about pravastatin?
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It is considered a hydrophilic statin, which means it may confer a lower risk of myalgia compared with other statins.
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The FDA has issued a statement that doses of 80 mg are no longer appropriate due to myalgia risk.
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It is metabolized by CYP3A4 and is subject to many drug interactions.
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It is considered a high-intensity statin.
9.
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?
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Add gemfibrozil for combination therapy.
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Change administration to bedtime rather than morning.
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Change to pravastatin 80 mg orally daily.
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Add ezetimibe for combination therapy.
10.
A client is taking atorvastatin. Which severe adverse drug reaction should the client be monitored for?
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Rhabdomyolysis
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Stroke
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Severe constipation
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Myocardial infarction