Question

The nurse should instruct the client taking an antilipemic about the regular need for which type of examination? a. Colonoscopy b. Dental c. Ophthalmic d. Hearing

Short answer

c. Ophthalmic

Step-by-step solution

Understand the Question

The question asks which type of regular examination a client taking an antilipemic should have. Antilipemics are medications used to lower lipid levels in the blood.

Identify the Purpose of Antilipemics

Antilipemics are primarily used to manage cholesterol levels and prevent cardiovascular diseases. An important side effect to consider is the impact on the liver and vision.

Evaluate Each Option

a. Colonoscopy - primarily used to detect colon cancer. b. Dental - mainly checks oral health. c. Ophthalmic - examines eye health, which can be affected by certain medications including antilipemics. d. Hearing - checks auditory health, not directly related to antilipemics.

Select the Correct Option

Based on the evaluation, the correct regular examination needed for a client taking an antilipemic is an ophthalmic exam to monitor for potential vision changes.

Key concepts

Antilipemics

Antilipemics, also known as lipid-lowering drugs, are medications used to manage and reduce high levels of fats (lipids) in the blood, primarily cholesterol and triglycerides. These medications are crucial for preventing cardiovascular diseases such as heart attacks, strokes, and atherosclerosis.
There are different types of antilipemics, including statins, fibrates, niacin, and bile acid sequestrants. Each type works in a unique way to reduce lipid levels:

• Statins: Inhibit an enzyme required for cholesterol production in the liver.
• Fibrates: Decrease triglyceride levels and can increase HDL (good cholesterol).
• Niacin: Lowers LDL (bad cholesterol) and triglycerides, and raises HDL cholesterol.
• Bile Acid Sequestrants: Bind bile acids in the intestine, causing the liver to use cholesterol to replace the bile acids, thus lowering overall cholesterol levels.

Antilipemics can have side effects such as muscle pain, liver damage, and changes in blood sugar levels. Regular monitoring and follow-ups with healthcare providers are essential to manage these risks.

Patient Education

Patient education is a critical component of managing and treating conditions with antilipemic medications. Educating patients helps them understand their medication regimen, the importance of adherence, and the potential side effects they should be aware of.
Key points to cover in antilipemic patient education include:

• Understanding the medication: Patients should know why they are taking the medication and how it helps lower their risk of cardiovascular diseases.
• Adherence: Emphasize the importance of taking their medication as prescribed, even if they feel well or their lipid levels improve.
• Lifestyle changes: Encourage healthy diet choices, regular physical activity, weight management, and smoking cessation, as these can enhance the effectiveness of antilipemics.
• Monitoring: Inform patients about the need for regular blood tests to monitor lipid levels and liver function, and the importance of attending all follow-up appointments with their healthcare provider.
• Side effects: Educate about potential side effects like muscle pain, liver issues, and any unusual symptoms, advising them to report these to their healthcare provider promptly.

Effective patient education can lead to better health outcomes, improved medication adherence, and reduced risk of complications associated with high lipid levels.

Ophthalmic Examination

Ophthalmic examinations are critical for patients taking antilipemics as they can detect vision changes and eye conditions early. Some antilipemic medications can have side effects that impact eye health, such as optic neuropathy or cataracts.
During an ophthalmic examination, an eye care professional will:

• Assess visual acuity to check how well the patient can see at various distances.
• Evaluate eye pressure to screen for glaucoma.
• Examine the retina and optic nerve to detect any changes or damage.
• Check for cataracts and assess the overall health of the eyes.

Regular ophthalmic exams help in early detection and management of potential side effects, ensuring that any vision issues can be addressed promptly. Patients should be reminded to schedule these exams annually or as advised by their healthcare provider, especially when taking medications known to affect vision. Maintaining eye health is an essential part of comprehensive care for patients on antilipemics.