The client has been taking niacin. Which statement by the client describes how this medication works?
1.It decreases VLDL levels and increases HDL levels.
2. The medication works immediately.
3. It works by binding bile acid in the intestines.
4. It is a vitamin C replacement.
1
Rationale 1:It decreases VLDL levels and increases HDL levels.
Rationale 2:Niacin may take a month or longer to achieve.
Rationale 3:Bile acid binding drugs can reduce LDL levels by increasing cholesterol excretion in the intestine.
Rationale 4:Niacin is a water-soluble B-complex vitamin.
Global Rationale: Niacin, also called nicotinic acid, is a water-soluble B-complex vitamin whose primary pharmacologic action is to decrease VLDL levels. When VLDL is diminished, the patient also experiences a reduction in LDL-cholesterol and triglyceride levels. Niacin also increases HDL levels.
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A nurse is named in a lawsuit with a charge of negligence in the care of a former client. The nurse recognizes that this lawsuit is considered a matter of:
1. civil law. 2. criminal law. 3. procedural law. 4. statutory law.
Children and adolescents with a diagnosis of conduct disorder are MOST likely to:
a. display evidence of high self-esteem b. live in poverty and high-crime areas c. have little interest in their peers d. be noncompliant with school rules
A student engages in unprotected sex under the influence of alcohol. The student decides to have an HIV test completed the next day. Which of the following results will most likely occur?
a. The results will probably be negative for HIV. b. The results will probably be positive for HIV. c. The probability of disease is so low there is no reason to be tested. d. The test results won't be reliable so soon after exposure.
The nurse is caring for a group of patients on a medical-surgical unit. For which patients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?
1. A patient suffering from constipation 2. A patient exhibiting nausea and vomiting following a surgical procedure 3. A patient with a severe burn 4. A patient with congestive heart failure with edema to the lower extremities and rales 5. A patient with uncontrolled diabetic ketoacidosis