NUR 241 Chapter 27 Antilipemic Drugs
Evolve Questions and Correct Answers
The nurse provides discharge instructions to a patient prescribed cholestyramine
(Questran). Which statement by the patient indicates teaching was effective for this
drug?
A. "I will increase fiber in my diet and drink more fluids."
B. "This drug can cause flushing, itching and gastrointestinal upset."
C. "I will take Questran 1 hour before my other medications."
D. "I will notify my health care provider if I have muscle pain." ✅Answer: A
Rational: Cholestyramine can cause constipation; thus increasing dietary fiber and fluid
intake is appropriate. All other drugs should be taken 1 hour before or 4 hours after
cholestyramine to facilitate proper absorption.
To decrease the skin flushing adverse effect reaction of niacin (nicotinic acid), which
action should the nurse take?
A. Administer niacin with a liquid antacid.
B. Administer aspirin 30 minutes before each dose.
C. Give niacin with all other morning medications.
D. Apply cold compresses to the head and neck. ✅Answer: B
Rational: To help minimize the adverse effect flushing of the skin, the patient should
take a small dose of aspirin or nonsteroidal antiinflammatory drugs 30 minutes before
taking niacin, but only as prescribed or recommended by the health care provider.
Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are
generally administered at which time of day?
A. Evening
B. 12:00 noon
C. Afternoon
D. Morning ✅Answer: A
Rational: The liver produces the majority of cholesterol during the night. Thus, statin
drugs, which decrease the cholesterol synthesis, are generally administered in the
evening or bedtime so that the peak drug levels coincide with cholesterol production.
Which discharge instruction should the nurse include for a patient prescribed an
antilipemic medication?
Evolve Questions and Correct Answers
The nurse provides discharge instructions to a patient prescribed cholestyramine
(Questran). Which statement by the patient indicates teaching was effective for this
drug?
A. "I will increase fiber in my diet and drink more fluids."
B. "This drug can cause flushing, itching and gastrointestinal upset."
C. "I will take Questran 1 hour before my other medications."
D. "I will notify my health care provider if I have muscle pain." ✅Answer: A
Rational: Cholestyramine can cause constipation; thus increasing dietary fiber and fluid
intake is appropriate. All other drugs should be taken 1 hour before or 4 hours after
cholestyramine to facilitate proper absorption.
To decrease the skin flushing adverse effect reaction of niacin (nicotinic acid), which
action should the nurse take?
A. Administer niacin with a liquid antacid.
B. Administer aspirin 30 minutes before each dose.
C. Give niacin with all other morning medications.
D. Apply cold compresses to the head and neck. ✅Answer: B
Rational: To help minimize the adverse effect flushing of the skin, the patient should
take a small dose of aspirin or nonsteroidal antiinflammatory drugs 30 minutes before
taking niacin, but only as prescribed or recommended by the health care provider.
Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) are
generally administered at which time of day?
A. Evening
B. 12:00 noon
C. Afternoon
D. Morning ✅Answer: A
Rational: The liver produces the majority of cholesterol during the night. Thus, statin
drugs, which decrease the cholesterol synthesis, are generally administered in the
evening or bedtime so that the peak drug levels coincide with cholesterol production.
Which discharge instruction should the nurse include for a patient prescribed an
antilipemic medication?
