What drug classification is considered the drug of choice to decrease triglyceride levels?

Bile acid agents

Fibric acid agents

HMG-CoA reductase inhibitors

Statin

Answer and Explanation

The Correct Answer is B

A. Bile acid agents primarily work by binding to bile acids in the intestines, leading to increased excretion of bile acids and cholesterol, but they are not specifically indicated for reducing triglyceride levels.

B. Fibric acid agents, such as gemfibrozil and fenofibrate, are considered the drug of choice for decreasing triglyceride levels, primarily by increasing the breakdown of triglyceride-rich particles and reducing hepatic triglyceride production.

C. HMG-CoA reductase inhibitors (statins) primarily lower LDL cholesterol levels but may also have modest effects on triglyceride levels.

D. Statins primarily target LDL cholesterol levels and are not considered the first-line therapy specifically for reducing triglyceride levels.

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Correct Answer is ["A","E"]

Explanation

Explanation:

A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.

B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.

C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.

D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.

E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.

A. Shave excess hair from skin before applying a nitroglycerin patch. B. Fold used patch with medication area to the inside and discard in a closed receptacle. C. Keep a nitroglycerin patch in place 24 hr per day. D. Put a second patch in place if angina pain occurs.

Correct Answer is A

Explanation

A. Shaving excess hair from the skin before applying a nitroglycerin patch helps ensure proper adhesion and absorption of the medication.

B. Used nitroglycerin patches should be folded with the medication area to the inside and disposed of in a manner that prevents accidental exposure to others.

C. Nitroglycerin patches are typically worn for a specified duration, often 12 to 14 hours, before being removed and replaced with a new patch.

D. Using multiple nitroglycerin patches simultaneously is not recommended and could lead to overdose.

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What drug classification is considered the drug of choice to decrease triglyceride levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)

Correct Answer is ["A","E"]

Explanation

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

Correct Answer is A

Explanation

What drug classification is considered the drug of choice to decrease triglyceride levels?

What is the most common adverse effect of nitroglycerin for which the patient is monitored?

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

You are instructed to give morphine sulfate 6 mg to a client experiencing an MI. The drug label reads: 15 mg/mL How many mL would you give?

A nurse is caring for a client who has a new prescription for lithium carbonate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client do which of the following?

The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated. Based on these symptoms, what does the nurse believe these symptoms are caused by?

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?