Nokea
The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
- A. Report muscle weakness to the physician.
- B. Allow six months for the drug to take effect.
- C. Take the medication with fruit juice.
- D. Ask the doctor to perform a complete blood count prior to starting the medication.
Correct Answer: A
Rationale: The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyolysis. The medication takes effect within one month of beginning therapy, so answer B is incorrect. The medication should be taken with water. Fruit juice, particularly grapefruit juice, can decrease the drug's effectiveness, so answer C is incorrect. Liver function studies, not a CBC, should be checked prior to beginning the medication, so answer D is incorrect.
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The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:
The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:
- A. use any sedatives.
- B. become constipated.
- C. use atropine in any form.
- D. release my emotions by crying.
Correct Answer: C
Rationale: Atropine increases intraocular pressure, worsening glaucoma, indicating correct understanding.
Which of the following clients is at greatest risk for postpartal hemorrhage?
- A. A gravida 1 para 1 with an uncomplicated delivery of a 7-pound infant
- B. A gravida 1 para 0 with a history of polycystic ovarian disease
- C. A gravida 2 para 2 with a history of low birth weight infants
- D. A gravida 4 para 3 with a Caesarean section
Correct Answer: D
Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for postpartal hemorrhage due to multiparity and surgical delivery, which can lead to uterine atony and increased bleeding risk.
A nurse is teaching a patient about the use of albuterol (Proventil) for asthma. Which of the following instructions should be included?
- A. Use this medication daily to prevent asthma attacks.
- B. Use this medication only when you feel short of breath.
- C. Use this medication at bedtime.
- D. Use this medication before exercise.
Correct Answer: D
Rationale: Albuterol, a rescue inhaler, is used before exercise to prevent exercise-induced bronchospasm. It’s not for daily prevention, symptom-only use, or bedtime dosing.
A client with which of the following conditions is at risk for developing a high ammonia level?
- A. renal failure
- B. psoriasis
- C. lupus
- D. cirrhosis
Correct Answer: D
Rationale: Cirrhosis impairs the liver's ability to metabolize ammonia, leading to elevated levels and risk of hepatic encephalopathy. The other conditions do not directly affect ammonia levels. Reduction of Risk Potential
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
- A. Muscle tone
- B. Muscle strength
- C. ROM
- D. Sensory function
Correct Answer: B
Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.