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A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?

A.

Chlorpromazine.

B.

Colesevelam.

C.

Colchicine.

D.

Cimetidine.

Answer and Explanation

The Correct Answer is B

Colesevelam is a bile acid sequestrant that lowers cholesterol by binding to bile  acids in the intestine and preventing their reabsorption into the bloodstream. Some possible explanations for the other choices are: 

Choice A. Chlorpromazine is wrong because it is an antipsychotic medication  that has no effect on cholesterol levels. 

Choice C. Colchicine is wrong because it is an anti-inflammatory drug that is  used to treat gout and other inflammatory conditions, not high cholesterol.

Choice D. Cimetidine is wrong because it is a histamine H2 receptor antagonist  that reduces stomach acid production and is used to treat ulcers and  gastroesophageal reflux disease (GERD), not high cholesterol.

Normal ranges for cholesterol levels vary depending on the type of cholesterol  and the risk factors of the individual, but generally, total cholesterol should be  less than 200 mg/dL, LDL cholesterol should be less than 100 mg/dL, HDL  cholesterol should be more than 40 mg/dL for men and 50 mg/dL for women,  and triglycerides should be less than 150 mg/dL. 


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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C. Keep the tablets at room temperature in their original glass bottle. Rationales: Choice A rationale: Taking one tablet each morning 30 minutes prior to eating is incorrect. Sublingual nitroglycerin is used to relieve acute angina attacks and is taken as needed rather than on a fixed schedule. Choice B rationale: Discarding any tablets not used every 6 months is incorrect. Sublingual nitroglycerin tablets should be replaced every 6 months to ensure potency, but this is not the main teaching point for safe storage. Choice C rationale: Keeping the tablets at room temperature in their original glass bottle is correct. Nitroglycerin tablets are sensitive to light and moisture, and the original glass bottle protects them from these elements, ensuring their effectiveness. Choice D rationale: Placing the tablet between the cheek and gum to dissolve is incorrect. Sublingual nitroglycerin tablets should be placed under the tongue where they dissolve and are absorbed quickly into the bloodstream for rapid relief of angina symptoms

Correct Answer is D

Explanation

A WBC count of 5,000/mm3 is low and could indicate leukopenia, a possible side effect of amitriptyline. Leukopenia increases the risk of infection and should be reported to the provider.

Choice B is wrong because a total bilirubin of 1.5 mg/dL is within the normal range of 0.3 to 1.9 mg/dL.

Choice C is wrong because a Hct of 44% is within the normal range of 37% to 48% for women and 45% to 52% for men.

Choice D is wrong because a potassium level of 4.2 mEq/L is within the normal range of 3.5 to 5.0 mEq/L.

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