Author Question: A patient with high blood lipids asks the nurse why the lipid profile did not improve after 3 months ... (Read 69 times)

Wadzanai · **on:** Jul 23, 2018

A patient with high blood lipids asks the nurse why the lipid profile did not improve after 3 months following a low-fat diet. What is the nurse's best response?

a. You may need to follow a no-fat diet to improve your lipid profile.
b. You must follow a low-fat diet for at least 6 months to see improvement.
c. You will definitely need to be prescribed a drug to see improvement.
d. You may have a genetic factor that is causing your high blood lipid levels.

Question 2

What is the most important question for the nurse to ask before administering the first dose of celecoxib (Celebrex) to a patient?

a. Do you floss your teeth daily?
b. Are you allergic to sulfa drugs?
c. Do you have diabetes mellitus?
d. Have you ever had glaucoma?

mrphibs · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
People who do not show lipid profile improvement after following a low-fat diet for 3 months often have a genetic factor that leads to familial hyperlipidemia. This tends to run in families and requires antilipidemic drugs to lower blood lipid levels. Telling the patient that a drug is defi-nitely required may be correct in this case, but it does not address the patient's question.

Answer to Question 2

B
Celecoxib is similar to the class of antibiotics known as sulfa drugs. An allergic reaction to celecoxib is more likely if the patient is also allergic to sulfa drugs.