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 ["D","F"]

Explanation

A. Aspirin is an antiplatelet medication that prevents new clots but does not actively lyse existing clots.

B. Low-molecular weight heparin is primarily used for preventing clot formation rather than lysing existing clots.

C. Heparin prevents further clot formation but does not dissolve existing clots.

D. Alteplase (Activase) is a thrombolytic agent specifically indicated for the dissolution of existing clots in acute situations like deep vein thrombosis.

E. Warfarin is an anticoagulant that prevents clotting but does not directly lyse clots; it is used for long-term management.

F. Anistreplase (Eminase) is another thrombolytic agent used to lyse existing clots and is indicated in similar situations.

A. "Weigh yourself daily, and report any weight loss to your prescriber." B. "Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy." C. "The impaired taste associated with this medication usually goes away in 2 to 3 weeks." D. "Increase your potassium intake by eating more bananas and apricots."

Correct Answer is B

Explanation

A. Daily weight monitoring is not specifically required with doxazosin and is more relevant for medications that may cause fluid retention or significant weight changes.

B. First-dose hypotension is a common and significant side effect of doxazosin, and advising the patient to lie down after the first dose helps mitigate the risk of dizziness and falls.

C. Impaired taste is not a known side effect of doxazosin, making this statement inaccurate.

D. While potassium intake is important for overall health, doxazosin does not typically require dietary potassium adjustments.

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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

The nurse is caring for a client who currently has a deep vein thrombosis. Which of the following medications would be administered to lyse existing clots? (Select All that Apply.)

Correct Answer is ["D","F"]

Explanation

A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?

Correct Answer is B

Explanation

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