A nurse is caring for a client with hyperlipidemia.
Which of the following are considered anti-lipemic medications? (Select All That Apply).
Gemfibrozil.
Simvastatin.
Enalapril.
Warfarin.
Fenofibrate.
Correct Answer : A,B,E
Choice A rationale
Gemfibrozil is a fibrate that reduces triglycerides and increases HDL cholesterol, commonly used to treat hyperlipidemia.
Choice B rationale
Simvastatin is a statin that inhibits HMG-CoA reductase, reducing LDL cholesterol levels and is used in managing hyperlipidemia.
Choice C rationale
Enalapril is an ACE inhibitor used to manage hypertension and heart failure, not typically used for hyperlipidemia.
Choice D rationale
Warfarin is an anticoagulant used to prevent blood clots and is not used for treating hyperlipidemia.
Choice E rationale
Fenofibrate is another fibrate like gemfibrozil, used to reduce triglycerides and increase HDL cholesterol, making it an anti-lipemic medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Anaphylaxis is a severe, potentially life-threatening allergic reaction. Fluticasone is not used for treating anaphylaxis.
Choice B rationale
Insomnia is a sleep disorder. Fluticasone is not used for treating insomnia.
Choice C rationale
Motion sickness is a condition that occurs in response to certain kinds of movement. Fluticasone is not used for treating motion sickness.
Choice D rationale
Fluticasone (Flonase) is a corticosteroid used to reduce the effects of allergies, including sneezing, nasal itching, and runny nose. It works by reducing inflammation in the nasal passages.
Correct Answer is A
Explanation
Choice A rationale
Stopping the infusion immediately is crucial to prevent further exposure to the allergen causing the adverse reaction. This intervention halts the administration of gentamicin, which is likely causing the dyspnea, rash, and itchiness. Prompt discontinuation of the medication minimizes the severity of the allergic reaction and allows for further medical management.
Choice B rationale
Administering an IV fluid bolus to flush the medication is not the priority intervention in this case. While it might help to clear the medication from the bloodstream, it does not address the immediate need to stop the allergen exposure and manage the allergic reaction.
Choice C rationale
Encouraging the client to take deep breaths and remain calm is supportive, but it does not address the root cause of the allergic reaction, which is the administration of gentamicin. The immediate priority is to stop the infusion and then manage the symptoms.
Choice D rationale
Administering oxygen via nasal cannula may help alleviate respiratory distress, but it is not the priority intervention. The primary step is to stop the infusion to prevent further exposure to the allergen.
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