A nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should the nurse ask first?
"Do you exercise regularly?"
"Do you consume alcohol daily?"
"Do you regularly have your eyes examined?"
"Do you check your blood pressure daily?"
The Correct Answer is B
When a client is newly prescribed atorvastatin for dyslipidemia, it is important to assess their alcohol consumption. Atorvastatin is metabolized by the liver, and excessive alcohol consumption can interfere with the liver's ability to process medications properly. Alcohol use can also have adverse effects on lipid profiles and contribute to liver disease. Therefore, determining the client's alcohol consumption is crucial in assessing the appropriateness of atorvastatin therapy and potential risks.
"Do you exercise regularly?": While exercise is an important aspect of cardiovascular health and can contribute to the management of dyslipidemia, it is not the first question to ask in this specific situation. Assessing alcohol consumption is more critical as it directly affects the metabolism and potential interactions with atorvastatin.
"Do you regularly have your eyes examined?": Regular eye examinations are important for individuals with certain health conditions, such as diabetes, to monitor for complications like diabetic retinopathy. However, for a client who is newly prescribed atorvastatin for dyslipidemia, assessing alcohol consumption takes priority as it has a direct impact on the medication's effectiveness and potential side effects.
"Do you check your blood pressure daily?": Monitoring blood pressure is essential for individuals with hypertension or cardiovascular disease. However, in this case, the priority is assessing alcohol consumption due to its potential interactions with atorvastatin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain the client's electrolyte levels every 4 hr.While monitoring electrolyte levels is important, obtaining them every 4 hours is excessive for a client who is stable and just starting enteral feedings. Typically, electrolyte levels are monitored based on clinical condition and provider orders.
B. Keep the client's head elevated at 15° during feedings.The client's head should be elevated at least 30 to 45 degrees during enteral feedings to reduce the risk of aspiration and improve gastric emptying. A position of only 15 degrees is insufficient for safety.
C. Measure the client's gastric residual every 12 hr.Gastric residuals should be assessed more frequently, especially in the initial stages of enteral feeding. It is typically recommended to check gastric residuals every 4 to 6 hours to ensure proper gastric emptying and tolerance to the feedings.
D. Flush the client's tube with 30 mL of water every 4 hr.Flushing the tube with water every 4 hours is a standard practice to maintain tube patency, prevent clogging, and ensure that the client receives adequate hydration.
Correct Answer is C
Explanation
A lacto-vegetarian diet is a type of vegetarianism that excludes meat, poultry, seafood, and eggs, but includes dairy products, such as milk, cheese, and yogurt. Therefore, the foods that the nurse should include in the meals for a client who follows a lacto-vegetarian diet are cheese and yogurt.
Shrimp and hamburger are not suitable for a lacto-vegetarian diet because they are animal flesh.
Eggs are also not allowed because they are animal products.
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