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 B

Explanation

A. Administer the insulin to the client is incorrect as the nurse should first verify the dosage for safety before administration.

B. Check the dosage with another nurse is correct because double-checking the insulin dosage with another licensed nurse is a critical safety step to prevent medication errors.

C. Check the client's blood sugar again is incorrect; while monitoring blood sugar is important, it is not the immediate next action after preparing the insulin.

D. Ensure a meal tray is available is incorrect; although the client should have a meal ready after insulin administration, the priority action before administering the medication is to confirm the dosage.

A. Chest pain and pale skin B. Shortness of breath and wheezing C. Peripheral edema and bradycardia D. Tachycardia and anxiety

Correct Answer is C

Explanation

A. Chest pain and pale skin are not typical adverse effects associated with diltiazem use.

B. Shortness of breath and wheezing may occur due to other conditions or medications but are not common adverse effects of diltiazem.

C. Calcium channel blockers like diltiazem can cause peripheral edema due to vasodilation and bradycardia as a result of their action on the heart rate. Monitoring for these effects is essential in patients taking diltiazem.

D. Tachycardia is not an expected adverse effect of diltiazem; in fact, it is used to manage conditions where tachycardia may be present. Anxiety is also not a direct adverse effect of this medication.

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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

The nurse is preparing to administer a mixture of 12 units regular insulin and 45 units NPH insulin to a client with a blood sugar of 378 mg/dl. After the nurse draws the medication into the syringe, what is the nurse's next action?

Correct Answer is B

Explanation

A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?

Correct Answer is C

Explanation

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