The nurse is providing group education about lipids to patients ...

[Brittanyd9008]

The nurse is providing group education about lipids to patients who have been diagnosed with hyperlipidemia. What does the best instruction include?
 
  1. High density lipoprotein (HDL) is called good cholesterol because it removes cholesterol from the body and gets rid of it in the liver.
  2. High density lipoprotein (HDL) is called good cholesterol because it increases the oxygen content in the arteries and reduces the amount of plaque build-up.
  3. High density lipoprotein (HDL) decreases the bad cholesterol (low density lipoprotein LDL), and promotes excretion of it through the kidneys.
  4. High density lipoprotein (HDL) decreases low density lipoprotein (LDL) and prevents it from converting to very low density lipoprotein (VDRL), which is the worst kind of cholesterol in the body.

Question 2

The nurse is discharging a 72-year-old man who was hospitalized after a muscle strain injury to his back. One of the discharge prescriptions for this patient is cyclobenzaprine (Flexeril) 10 mg three times per day with food.
 
  The prescription is written for 90 tablets and there are three refills available. Which information from this situation would alert the nurse for the need to collaborate with the patient's health care provider?
  1. The dosage amount is too low for the type of injury this patient sustained.
  2. Cyclobenzaprine should be used with great caution in those over 65.
  3. If taken as directed, the patient would be able to take the medication for 120 days.
  4. Cyclobenzaprine is not effective for back pain.
  5. Cyclobenzaprine should not be taken with food.

[Anna]

Answer to Question 1

Correct Answer: 1
Rationale: High density lipoprotein (HDL) assists in the transport of cholesterol away from body tissues and back to the liver in a process called reverse cholesterol transport. High density lipoprotein (HDL) does not reduce low density lipoprotein (LDL), which is excreted in the feces, not the kidneys. High density lipoprotein (HDL) does not increase oxygen content in the arteries. Very low density lipoprotein (VDRL) reduces to become low density lipoprotein (LDL).

Answer to Question 2

Correct Answer: 2,3
Rationale 1: The dosage of 10 mg three times daily is standard.
Rationale 2: The adverse reactions from cyclobenzaprine include confusion, hallucinations, and cardiac events, which are more common in patients over 65.
Rationale 3: The manufacturer recommends that treatment not extend beyond 3 weeks or 21 days.
Rationale 4: Cyclobenzaprine is not effective for muscle spasm due to spinal cord injury, but is useful in the treatment of back pain from muscle strain.
Rationale 5: The drug may be taken with food or milk if gastric upset occurs.

[Brittanyd9008]

Both answers were spot on, thank you once again

[Anna]

Great! Please up vote