ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 27 : Antilipemic Drugs Questions
Question 1 of 5
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?
Correct Answer: B
Rationale: Fibric acid derivatives, such as gemfibrozil, commonly cause gastrointestinal side effects like diarrhea. Constipation, joint pain, and dry mouth are not typical adverse effects of this class.
Question 2 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: Antilipemic drugs, particularly statins and niacin, can cause liver dysfunction, requiring regular monitoring of liver function tests. Neutropenia, pulmonary problems, and vitamin C deficiency are not associated with antilipemic therapy.
Question 3 of 5
A patient tells the nurse that he likes to eat large amounts of garlic 'to help lower his cholesterol levels naturally.' The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?
Correct Answer: B
Rationale: Garlic can enhance the anticoagulant effects of warfarin, increasing bleeding risk due to its antiplatelet properties. Acetaminophen, digoxin, and phenytoin do not have significant interactions with garlic.
Question 4 of 5
A patient with coronary artery disease asks the nurse about the 'good cholesterol' laboratory values. The nurse knows that 'good cholesterol' refers to which lipids?
Correct Answer: D
Rationale: High-density lipoproteins (HDLs) are considered 'good cholesterol' due to their cardioprotective role in cholesterol recycling. LDLs and VLDLs are associated with increased cardiovascular risk, and triglycerides are not classified as 'good cholesterol.'
Question 5 of 5
A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse's best response?
Correct Answer: B
Rationale: Statins typically require 6 to 8 weeks to achieve maximum lipid-lowering effects. One week is too short, and 6 months or a year is unnecessarily long for initial effects.