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 C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

A. The short-acting insulin covers the patient's basal needs. B. The intermediate-acting insulin covers mealtime glucose spikes. C. The short-acting insulin provides coverage for meals, while intermediate-acting insulin covers glucose control between meals and overnight. D. Both types of insulin have the same onset and peak times.

Correct Answer is C

Explanation

A. Short-acting insulin does not cover basal needs; that is the role of long-acting insulin.

B. Intermediate-acting insulin does not primarily cover mealtime glucose spikes; it provides a more prolonged effect.

C. Short-acting insulin is used to manage blood glucose during meals, while intermediate-acting insulin helps maintain glucose control between meals and overnight, making this the correct choice.

D. Short-acting and intermediate-acting insulins have different onset and peak times; they do not share the same pharmacokinetic properties.

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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 provides a client with a dose of the beta-selective adrenergic agonist isoproterenol. Which assessment finding indicates the medication is effective?

Correct Answer is C

Explanation

A nurse is caring for a patient who is receiving both short-acting and intermediate-acting insulin. The nurse should understand that:

Correct Answer is C

Explanation

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