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 ["A","B","C"]
Explanation
Choice A rationale
Determining the dosage is a critical responsibility of the nurse to ensure the patient receives the correct amount of medication, which is essential for therapeutic effectiveness and patient safety. This practice aligns with legal guidelines to avoid underdosing or overdosing, which could lead to adverse outcomes.
Choice B rationale
Teaching the client about the medication is part of the nurse's duty to promote patient understanding, compliance, and informed consent. Educating clients about their medications, including potential side effects and proper administration, helps in preventing medication errors and promoting safe, effective treatment.
Choice C rationale
Monitoring for adverse effects is crucial to ensure patient safety and the efficacy of the medication. Nurses must observe and report any negative reactions to the medication to adjust treatment promptly, which is part of their legal and ethical responsibilities.
Choice D rationale
Determining the client's insurance status is generally not considered part of a nurse's duties related to medication administration under legal practice guidelines. This task is more aligned with administrative or billing departments rather than clinical nursing responsibilities.
Correct Answer is D
Explanation
Choice A rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle, not the distal tubule.
Choice B rationale
Spironolactone is a potassium-sparing diuretic that works on the collecting ducts and late distal tubules, not the distal tubule.
Choice C rationale
Mannitol is an osmotic diuretic that acts on the proximal tubule and the descending limb of the loop of Henle, not the distal tubule.
Choice D rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, making it the correct answer.
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