Nursing 6005 Chapter 50: Prophylaxis Of Coronary Heart Disease

NURSING 6005 CHAPTER 50: PROPHYLAXIS OF CORONARY HEART DISEASE: Drugs That Help Normalize Cholesterol and Triglyceride Levels Test Bank MULTIPLE CHOICE 1. A patient with a history of angina and hypertension is being started on nicotinic acid (Niacin). The nurse is providing patient education. What statement made by the patient demonstrates a need for further teaching? a. “I will take Tylenol with my medication to reduce the inflammatory effects.” b. “I will be cautious taking this medication, because I have mild liver damage.” c. “I will take an aspirin 30 minutes before my niacin to reduce flushing.” d. “This medication will lower my triglyceride levels.” 2. A prescriber has ordered rosuvastatin (Crestor) for a patient with non–alcoholic-related cirrhosis. Which intervention would be most appropriate for the nurse before administration of this drug? a. Question the order, because rosuvastatin is contraindicated in patients with liver disease. b. No intervention is necessary; just administer the drug as ordered. c. Review the baseline liver function test results. d. Assess the patient for liver disease. 3. 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. 4. 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.” 5. A patient taking gemfibrozil (Lopid) and rosuvastatin (Crestor) concurrently begins to complain of muscle aches, fatigue, and weakness. What should the nurse monitor? a. For tendon tenderness b. For a lupuslike syndrome c. The patient’s LFT results d. The patient’s creatinine kinase levels