Clayton's Basic Pharmacology for Nurses
Which potential effect of cholestyramine can cause bleeding gums, bruising, or dark tarry stools? -
(correct Answer) - Deficiency of vitamin K.
Which question must be answered before a 40-year-old woman can begin statin therapy? - (correct
Answer) - "Are you pregnant?"
Which instruction does the nurse give to a patient beginning lovastatin (Mevacor) therapy? - (correct
Answer) - Do not drink grapefruit juice.
A patient taking a statin reports muscle aches and soreness. Which statement by the nurse correctly
explains why this symptom is cause for concern? - (correct Answer) - "Muscle aches and soreness may be
early signs of myopathy."
A patient is taking warfarin (Coumadin) and cholestyramine. Which instruction should the nurse
provide? - (correct Answer) - Take warfarin 1 hour before or 4 hours after taking cholestyramine.
Which supplemental vitamins may be required for patients taking bile acid-sequestering resins? -
(correct Answer) - Fat-soluble vitamins.
Which instruction does the nurse include when teaching a patient with hyperlipidemia about how to
take the powdered form of cholestyramine? - (correct Answer) - Mix the powder with 2 to 6 ounces of
water or juice.
Which medication has the greatest effect on increasing high-density lipoprotein (HDL) levels? - (correct
Answer) - Niacin.
A patient has been prescribed ezetimibe (Zetia) for the management of hyperlipidemia. Which adverse
effect should be monitored? - (correct Answer) - Abdominal pain.
The nurse is instructing a patient about the management of hyperlipidemia. Which statement by the
patient indicates the need for further teaching? - (correct Answer) - "By taking my antilipemic
medication, I will not need to modify my diet."
Which medication has received US Food and Drug Administration (FDA) approval for reducing blood
glucose and glycosylated hemoglobin (A1c) in adult patients with type 2 diabetes? - (correct Answer) -
Colesevelam.
Which potential effect of cholestyramine can cause bleeding gums, bruising, or dark tarry stools? -
(correct Answer) - Deficiency of vitamin K.
Which question must be answered before a 40-year-old woman can begin statin therapy? - (correct
Answer) - "Are you pregnant?"
Which instruction does the nurse give to a patient beginning lovastatin (Mevacor) therapy? - (correct
Answer) - Do not drink grapefruit juice.
A patient taking a statin reports muscle aches and soreness. Which statement by the nurse correctly
explains why this symptom is cause for concern? - (correct Answer) - "Muscle aches and soreness may be
early signs of myopathy."
A patient is taking warfarin (Coumadin) and cholestyramine. Which instruction should the nurse
provide? - (correct Answer) - Take warfarin 1 hour before or 4 hours after taking cholestyramine.
Which supplemental vitamins may be required for patients taking bile acid-sequestering resins? -
(correct Answer) - Fat-soluble vitamins.
Which instruction does the nurse include when teaching a patient with hyperlipidemia about how to
take the powdered form of cholestyramine? - (correct Answer) - Mix the powder with 2 to 6 ounces of
water or juice.
Which medication has the greatest effect on increasing high-density lipoprotein (HDL) levels? - (correct
Answer) - Niacin.
A patient has been prescribed ezetimibe (Zetia) for the management of hyperlipidemia. Which adverse
effect should be monitored? - (correct Answer) - Abdominal pain.
The nurse is instructing a patient about the management of hyperlipidemia. Which statement by the
patient indicates the need for further teaching? - (correct Answer) - "By taking my antilipemic
medication, I will not need to modify my diet."
Which medication has received US Food and Drug Administration (FDA) approval for reducing blood
glucose and glycosylated hemoglobin (A1c) in adult patients with type 2 diabetes? - (correct Answer) -
Colesevelam.
