A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?

assessing the client's resting heart rate and postural blood pressures

reviewing the client's laboratory blood work results

assessing the client's exercise tolerance and activities of daily living

performing a focused cardiac assessment

Answer and Explanation

The Correct Answer is B

A. While resting heart rate and blood pressure are important for overall cardiovascular health, they do not specifically assess the effectiveness of atorvastatin in lowering lipid levels.

B. Reviewing laboratory blood work results, particularly lipid panels, is essential to determine the therapeutic effect of atorvastatin, as it directly measures changes in cholesterol levels (such as LDL and total cholesterol).

C. Assessing exercise tolerance and activities of daily living can provide insight into overall health and well-being but does not specifically evaluate the impact of atorvastatin on lipid levels.

D. A focused cardiac assessment is beneficial for understanding cardiovascular health but is not specific for measuring the effectiveness of lipid-lowering therapy with atorvastatin.

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Correct Answer is A

Explanation

A. Wearing protective equipment such as gloves, mask, and gown is essential when preparing cytotoxic drugs to protect the nurse from potential exposure to harmful substances.

B. While washing hands is important for general hygiene, it does not specifically protect against cytotoxic drug exposure.

C. Mixing medication in a 1-L bag does not offer specific protection to the nurse and is not a standard measure for safety.

D. Administering medication intramuscularly (IM) is a route of administration and does not relate to protection measures while preparing cytotoxic drugs.

A. An allergic reaction B. Anaphylactic reaction C. Poisoning D. Sedative effects

Correct Answer is C

Explanation

A. An allergic reaction is a possible response to medication, but it is not directly related to doubling the dosage.

B. Anaphylactic reaction is a severe and rapid allergic response; while possible, it is not the most likely consequence of an overdose in this context.

C. Poisoning is a likely concern when a client takes double the prescribed dosage of analgesics, especially if the medication has a narrow therapeutic index or is known to cause toxicity at high doses.

D. Sedative effects could occur depending on the analgesic used, but poisoning is a more pressing concern following an overdose.

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A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What measure protects the nurse when preparing cytotoxic drugs?

Correct Answer is A

Explanation

The nurse is caring for a client who experienced a severe headache. When the prescribed dose of analgesics did not cause relief, the client took double the dosage 1 hour later. The nurse should assess the client for what adverse effect?

Correct Answer is C

Explanation

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