Term
| The client says to the nurse “My doctor says I have heart disease and I need to decrease cholesterol in my diet. How did this happen?” What is the best response by the nurse? |
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Definition
| “The arteries around your heart are narrowed by low density lipoprotein (LDL) cholesterol build-up in them.” |
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Term
| The nurse is providing group education about lipids to clients who have been diagnosed with hyperlipidemia. What does the best instruction include? |
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Definition
| High density lipoprotein (HDL) is called good cholesterol because it removes cholesterol from your body and gets rid of it in your liver. |
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Term
| The client tells the nurse she is confused about what she has been reading about lipids. What is (are) the best response(s) by the nurse? Select all that apply. |
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Definition
Triglycerides are the major form of fat in the body.
Phospholipids are essential to building plasma membranes.
Cholesterol is a building block for estrogen and testosterone.
Cholesterol in the diet is unnecessary as the liver synthesizes it. |
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Term
The client has serum cholesterol levels of:
Low density lipoprotein (LDL) = 105mg/dl
High density lipoprotein (HDL) = 37mg/dl
Low density lipoprotein (LDL)/high density lipoprotein (HDL) ratio = 4.1
In planning care with this client, what is the best outcome? |
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Definition
| The client will maintain normal lipid levels without the use of medications. |
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Term
| Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding |
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Definition
| The nurse has completed nutritional teaching with the client who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the client makes which menu choice? |
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Term
| The client is receiving atorvastatin (Lipitor). Which new medication order would the nurse validate with the physician? |
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Definition
| Ketoconazole (Nizoral) 200 mg by mouth every morning. |
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Term
| The client is receiving cholestryamine (Questran), and complains of constipation. The physician orders bisacodyl (Ducolax) tablets. When is the best time for the nurse to administer the bisacodyl (Ducolax) tablets? |
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Definition
| Four hours after administration of cholestryamine (Questran). |
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Term
| The client is receiving gemfibrozil (Lopid). The nurse has completed discharge instructions about this medication. The nurse recognizes that teaching has been effective when the client makes which statement? |
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Definition
| “I must take this medication with food or I can have heartburn.” |
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Term
| The client tells the nurse that his doctor wants him to take a medication for his high cholesterol, but he doesn’t know which one would be best. What is (are) the best response(s) by the nurse? Select all that apply. |
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Definition
1.“Fibric acid drugs will decrease triglycerides, but your low density lipoprotein (LDL) will still be high.”
2.“The statin drugs inhibit the making of cholesterol and are considered the best choice.”
3.“The bile resins keep cholesterol from being absorbed, but have some side effects.” |
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Term
| The client tells the nurse, “My doctor says I have high levels of fat in my blood. Is that like big pieces of fat floating around?” What is the best response by the nurse? |
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Definition
| “No, actually fats travel in the blood on little proteins called lipoproteins.” |
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Term
| The client is taking a statin drug. Which assessment data would be a priority for the nurse to report immediately to the physician? |
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Definition
| “My calves hurt, and I had a hard time walking to the bathroom.” |
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Term
| The client is receiving a statin drug. Which assessment data would be a priority for the nurse to report to the physician? |
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Definition
| Urine output of 20 ml/hour |
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Term
| The client is receiving cholestryamine (Questran). When assessing for side effects, what will be the primary focus of the nurse? |
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Definition
| Auscultation of bowel sounds in all four abdominal quadrants |
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Term
| The client is receiving niacin. Although this drug is effective in lowering lipid levels, the client complains of uncomfortable flushing. What is the best education by the nurse? |
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Definition
| “Take one aspirin thirty minutes before you take your niacin.” |
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Term
| The client is receiving a statin drug. The nurse notes an increase in creatine phosphokinase (CPK) levels. What is the nurse’s priority action? |
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Definition
| Hold the drug and notify the physician. |
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Term
| Which lipid type is associated with the highest risk of atherosclerosis development? |
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Definition
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Term
| Which type of lipid serves as fuel for the body when energy is needed? |
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Definition
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Term
| The high-density lipoprotein (HDL) complex consists primarily of _______, where low-density lipoprotein (LDL) complexes primarily consist of ________. |
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Definition
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Term
| Which type of lipoprotein is often referred to as “the good type,” and why? |
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Definition
| 4. HDL is good, because it carries cholesterol away from tissues and to the liver for metabolism and excretion. |
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Term
| Which statement provides the best rationale for monitoring HDL and LDL as opposed to total cholesterol? |
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Definition
| 1. Total cholesterol measurements include cholesterol that will be destroyed as well as transported to tissues and stored. |
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Term
| Which of the following patients would be at the greatest risk of developing heart disease? |
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Definition
| Total 198, LDL 162, HDL 20 |
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Term
| Which statement correctly identifies why simply restricting dietary intake of cholesterol generally will not result in a significant reduction of blood cholesterol? |
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Definition
| 3. The liver reacts to a low-cholesterol diet by making more cholesterol. |
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Term
| Atorvastatin (Lipitor) is a statin that can be used to lower blood cholesterol levels by: |
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Definition
| Inhibiting an enzyme that is essential for cholesterol synthesis. |
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Term
| Which statement is accurate regarding the use of nicotinic acid (Niacin) for lowering blood cholesterol levels? |
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Definition
| Hot flashes are a common side effect when Niacin is used in high doses. |
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