Upgrade to remove ads
Only $35.99/year

NR293 Final Review/Cardiovascular Drugs/Statin Drugs

Terms in this set (26)

What enzyme is inhibited by the use of statin drugs?


hsCRP

HMG CoA

VLDL

Cholesterol
HMG CoA
The reduction of LDL cholesterol may be seen as early as___________________ weeks after the initiation of statin drugs.
2
How are statin drugs administered?


a. Intravenously

b. Subcutaneous injection

c. Orally

d. Intramuscular injection
c. Orally
What is the principal site of action for statin drugs?


a. Kidney

b. Myocardium

c. Plasma

d. Liver
Liver
If the patient taking rosuvastatin (Crestor) complains of muscle pain or tenderness, why is this serious?
This could indicate the more serious side effect of rhabdomyolysis.
Which side effect of rosuvastatin (Crestor) is reported to the provider immediately?


a. Constipation

b. Abdominal pain

c. Muscle pain

d. Nausea
c. Muscle pain
What dietary modifications are put into place to reduce or alleviate gastrointestinal side effects of statin drugs?

Select all that apply.


a. Increase intake of high fiber foods

b. Take with grapefruit juice

c. Take on an empty stomach

d. Crush tablets and take with pureed foods

e. Increase intake of fluids
a. Increase intake of high fiber foods
e. Increase intake of fluids
How does the nurse administer a statin drug with regard to meals?


a. Give on an empty stomach

b. Give without fluids

c. Give without regard for meals

d. Give with food
c. Give without regard for meals
What are the most common side effects that the patient should be aware of when initiating statin drugs? (Select all that apply)


a. Constipation

b. Muscle pain

c. Peptic ulcer

d. Flushing of skin

e. Muscle tenderness
a. Constipation
c. Peptic ulcer
The patient taking statin drugs should be instructed to avoid which food?


a. Grapefruit

b. Bananas

c. Chocolate

d. Leafy greens
a. Grapefruit
Which side effect should the patient taking a statin report to the nurse immediately?


a. Muscle tenderness

b. Fatigue

c. Headache

d. Constipation
a. Muscle tenderness
The nurse is collecting a medication list upon admission. Which medical history would the nurse expect to see in the patient's history if the patient is taking a statin drug? (Select all that apply).

a. Hypertension

b. Myocardial infarction

c. Liver disorder

d. Smoking history

e. Peptic ulcer
a. Hypertension
b. Myocardial infarction
d. Smoking history
What cholesterol level would a hypertensive patient with diabetes older than 40 years need to be prescribed a statin?

a. LDL 105 mg/dL

b. LDL 98 mg/dL

c. LDL 84 mg/dL

d. LDL 65 mg/dL
a. LDL 105 mg/dL
The American Diabetes Association recommends a statin for all patients older than 40 years whose LDL cholesterol is greater than 100 mg/dL.
The nurse is providing discharge education on a patient in the telemetry unit who has just been prescribed a statin drug. The patient asks the nurse when he can expect to be taken off the medication. How does the nurse respond?

a. "You will be on the drug for at least two weeks."

b. "Your provider may discontinue the medication in four to six weeks."

c. "Reduction of cholesterol will be a lifelong treatment."

d. "Cholesterol medications are generally discontinued in a few months."
c. "Reduction of cholesterol will be a lifelong treatment."
A patient asks how long it takes for cholesterol levels to decrease using a statin. How does the nurse respond? (Select all that apply)


a. Cholesterol reduction takes four to six weeks.

b. Cholesterol reduction will not likely occur.

c. Cholesterol reductions are significant within 2 weeks.

d. Maximal reduction is seen within 4 to 6 weeks.

e. Maximal reduction is seen within 4 to 6 months.
c. Cholesterol reductions are significant within 2 weeks.
e. Maximal reduction is seen within 4 to 6 weeks.
Sets found in the same folder