NUR 2474 Pharm Exam 2 (New 2026/ 2027
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
A patient with malaise has been taking daptomycin (Cubicin) for an infection and is
concurrently taking simvastatin (Zocor). The nurse should be concerned if the patient
complains of:
a.nausea.
b.tiredness.
c.muscle pain.
d.headache. - correct answer c.muscle pain.
Statins can injure muscle tissue, causing muscle aches and pain known as
myopathy/rhabdomyolysis. Daptomycin also can cause myopathy and therefore should
be used with caution in patients concurrently taking simvastatin. Nausea, tiredness,
and headache would not cause the nurse as much concern as the likelihood of
myopathy.
,A patient who recently started therapy with an HMG-COA reductase inhibitor asks the
nurse, "How long will it take until I see an effect on my LDL cholesterol?" The nurse
gives which correct answer?
a."At least 6 months is required to see a change."
b."A reduction usually is seen within 2 weeks."
c."Blood levels normalize immediately after the drug is started."
d."Cholesterol will not be affected, but triglycerides will fall within the first week." -
correct answer b."A reduction usually is seen within 2 weeks."
Reductions in LDL cholesterol are significant within 2 weeks and maximal within 4 to 6
weeks. It does not take 6 months too see a change. The blood level of LDL cholesterol
is not reduced immediately upon starting the drug; a reduction is seen within 2 weeks.
Blood cholesterol is affected, specifically LDL cholesterol, not triglycerides.
A patient has begun taking an HMG-COA reductase inhibitor. Which statement about
this class of drugs made by the nurse during patient education would be inappropriate?
,a."Statins reduce the risk of stroke."
b."You should come into the clinic for liver enzymes in 1 month."
c."Statins reduce the risk of coronary events in people with normal LDL levels."
d."You should maintain a healthy lifestyle and avoid high-fat foods." - correct answer
b."You should come into the clinic for liver enzymes in 1 month."
Baseline liver enzyme tests should be done before a patient starts taking an HMG-COA
reductase inhibitor. They should be measured again in 6 to 12 months unless the
patient has poor liver function, in which case the tests are indicated every 3 months.
Statins do reduce the risk of stroke and coronary events in people with normal LDL
levels. Maintaining a healthy lifestyle is important, as is avoiding high-fat foods.
A nurse is instructing a patient receiving a cholesterol-lowering agent. Which
information should the nurse include in the patient education?
a."This medication will replace other interventions you have been trying."
b."It is important for you to double your dose if you miss one to maintain therapeutic
blood levels."
, c."Stop taking the medication if you experience constipation."
d."You should continue your exercise program to increase your HDL serum levels." -
correct answer d."You should continue your exercise program to increase your HDL
serum levels."
Regular exercise can reduce LDL cholesterol and elevate high-density lipoprotein
(HDL) cholesterol, thereby reducing the risk of coronary heart disease (CHD). The
patient should consider the cholesterol-lowering drug an adjunct to a proper diet and
exercise. Drug therapy cannot replace other important interventions, such as diet and
exercise. The patient should never be instructed to double the dose. Constipation is a
side effect of most cholesterol-lowering agents. The patient should be encouraged to
eat a high-fiber diet and increase fluids if not contraindicated.
Lovastatin (Mevacor) is prescribed for a patient for the first time. The nurse should
provide the patient with which instruction?
a."Take lovastatin with your evening meal."
b."Take this medicine before breakfast."
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
A patient with malaise has been taking daptomycin (Cubicin) for an infection and is
concurrently taking simvastatin (Zocor). The nurse should be concerned if the patient
complains of:
a.nausea.
b.tiredness.
c.muscle pain.
d.headache. - correct answer c.muscle pain.
Statins can injure muscle tissue, causing muscle aches and pain known as
myopathy/rhabdomyolysis. Daptomycin also can cause myopathy and therefore should
be used with caution in patients concurrently taking simvastatin. Nausea, tiredness,
and headache would not cause the nurse as much concern as the likelihood of
myopathy.
,A patient who recently started therapy with an HMG-COA reductase inhibitor asks the
nurse, "How long will it take until I see an effect on my LDL cholesterol?" The nurse
gives which correct answer?
a."At least 6 months is required to see a change."
b."A reduction usually is seen within 2 weeks."
c."Blood levels normalize immediately after the drug is started."
d."Cholesterol will not be affected, but triglycerides will fall within the first week." -
correct answer b."A reduction usually is seen within 2 weeks."
Reductions in LDL cholesterol are significant within 2 weeks and maximal within 4 to 6
weeks. It does not take 6 months too see a change. The blood level of LDL cholesterol
is not reduced immediately upon starting the drug; a reduction is seen within 2 weeks.
Blood cholesterol is affected, specifically LDL cholesterol, not triglycerides.
A patient has begun taking an HMG-COA reductase inhibitor. Which statement about
this class of drugs made by the nurse during patient education would be inappropriate?
,a."Statins reduce the risk of stroke."
b."You should come into the clinic for liver enzymes in 1 month."
c."Statins reduce the risk of coronary events in people with normal LDL levels."
d."You should maintain a healthy lifestyle and avoid high-fat foods." - correct answer
b."You should come into the clinic for liver enzymes in 1 month."
Baseline liver enzyme tests should be done before a patient starts taking an HMG-COA
reductase inhibitor. They should be measured again in 6 to 12 months unless the
patient has poor liver function, in which case the tests are indicated every 3 months.
Statins do reduce the risk of stroke and coronary events in people with normal LDL
levels. Maintaining a healthy lifestyle is important, as is avoiding high-fat foods.
A nurse is instructing a patient receiving a cholesterol-lowering agent. Which
information should the nurse include in the patient education?
a."This medication will replace other interventions you have been trying."
b."It is important for you to double your dose if you miss one to maintain therapeutic
blood levels."
, c."Stop taking the medication if you experience constipation."
d."You should continue your exercise program to increase your HDL serum levels." -
correct answer d."You should continue your exercise program to increase your HDL
serum levels."
Regular exercise can reduce LDL cholesterol and elevate high-density lipoprotein
(HDL) cholesterol, thereby reducing the risk of coronary heart disease (CHD). The
patient should consider the cholesterol-lowering drug an adjunct to a proper diet and
exercise. Drug therapy cannot replace other important interventions, such as diet and
exercise. The patient should never be instructed to double the dose. Constipation is a
side effect of most cholesterol-lowering agents. The patient should be encouraged to
eat a high-fiber diet and increase fluids if not contraindicated.
Lovastatin (Mevacor) is prescribed for a patient for the first time. The nurse should
provide the patient with which instruction?
a."Take lovastatin with your evening meal."
b."Take this medicine before breakfast."
