Page 1793 - Saunders Comprehensive Review For NCLEX-RN

cholesterol levels.

2. Interventions

a. Monitor vital signs.
b. Monitor liver enzyme levels.
c. Monitor serum cholesterol and
triglyceride levels.
d. Instruct the client that it will take
several weeks before the lipid level
declines.
e. Instruct the client to restrict intake of
fats, cholesterol, carbohydrates, and
alcohol.
f. Instruct the client to follow an exercise
program.
g. Instruct the client to have an annual eye
examination and to report changes in
vision.
h. Instruct the client with diabetes
mellitus who is taking gemfibrozil to
monitor blood glucose levels regularly.
i. Instruct the client to increase fluid
intake.
j. Nicotinic acid has numerous side and
adverse effects, including
gastrointestinal disturbances, flushing
of the skin, elevated liver enzyme
levels, hyperglycemia, and
hyperuricemia.
k. Instruct the client that taking aspirin or
nonsteroidal antiinflammatory drugs
30 minutes before nicotinic acid may
assist in reducing the side effect of
cutaneous flushing.
l. Instruct the client to take nicotinic acid
with meals to reduce gastrointestinal
discomfort.

Box 53-1

Anticoagulants

Oral

▪ Warfarin sodium
▪ Dabigatran etexilate mesylate

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