ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 27 : Antilipemic Drugs Questions
Question 1 of 5
A patient reports having adverse effects with niacin. The prescriber has recommended which action to minimize these undesirable effects?
Correct Answer: C
Rationale: Taking aspirin 30 minutes before niacin can reduce cutaneous flushing by counteracting prostaglandin-mediated vasodilation. Taking niacin with meals, not on an empty stomach, and maintaining consistent dosing, not skipping days, are recommended. Fiber does not reduce niacin's adverse effects.
Question 2 of 5
A patient calls the clinic office saying that the cholestyramine 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?
Correct Answer: C
Rationale: Cholestyramine powder should be mixed with 4 to 6 ounces of fluid or food to ensure proper administration and prevent clumping. It should not be taken dry, and carbonated drinks or vigorous stirring alone are not recommended.
Question 3 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 4 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 5 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.