ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 27 Questions
Question 1 of 5
A patient with elevated lipid levels has a new prescription for niacin. The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: Niacin commonly causes pruritus and cutaneous flushing due to its vasodilatory effects. Tinnitus and urine odor are associated with bile acid sequestrants, myalgia and fatigue with statins, and blurred vision and headaches are not typical niacin adverse effects.
Question 2 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 3 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 4 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 5 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.