A client is started on gemfibrozil (Lopid) to assist in the lowering of triglyceride level. Which of the following side effects is associated with gemfibrozil (Lopid)?

Increased creatinine clearance

decreased PT time

hyperkalemia

gallstones

Answer and Explanation

The Correct Answer is D

A. Increased creatinine clearance is not a common effect of gemfibrozil; rather, it may lead to liver function changes or muscle-related side effects.

B. Gemfibrozil does not typically decrease prothrombin time (PT); this option does not relate to its mechanism of action.

C. Hyperkalemia is not a typical side effect of gemfibrozil; it may be more relevant to other medications, particularly those affecting the kidneys.

D. Gallstones are a known side effect of gemfibrozil, as the drug can increase biliary cholesterol saturation, leading to the formation of stones.

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Correct Answer is ["675"]

Explanation

To calculate the dosage of vancomycin, we first convert the client's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (15 mg/kg * 90 kg). Since the dose is divided equally every 12 hours, the nurse would administer half of the daily dose every 12 hours, resulting in 675 mg per dose (1350 mg/day / 2). Therefore, the nurse should administer 675 mg of vancomycin with each dose.

A. bradycardia B. elevated HDL cholesterol C. migraine headache D. dark-red urine

Correct Answer is D

Explanation

A. Bradycardia is not a direct side effect of atorvastatin and may require further context for concern.

B. Elevated HDL cholesterol is a positive outcome of atorvastatin therapy and does not require reporting.

C. A migraine headache is not typically a direct side effect of atorvastatin but could warrant discussion if it affects the client's overall well-being.

D. Dark-red urine may indicate potential muscle breakdown (rhabdomyolysis) associated with atorvastatin and should be reported immediately due to the risk of kidney damage.

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A client is started on gemfibrozil (Lopid) to assist in the lowering of triglyceride level. Which of the following side effects is associated with gemfibrozil (Lopid)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

Correct Answer is D

Explanation

The nurse is caring for a client who is taking atorvastatin (Lipitor) to assist in lowering his LDL cholesterol. Which lab value must be routinely done with this medication to prevent complications?

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