A nurse is caring for a client with a new prescription for gemfibrozil.
Which of the following is an indication of this medication?
Reduction of plasma triglycerides (VLDL) and increased levels of HDL.
Reduction of HDL and increased levels of plasma triglycerides (VLDL).
Treatment for hypertension.
Treatment for DVT.
The Correct Answer is A
Choice A rationale
Gemfibrozil is used to reduce elevated plasma triglycerides (VLDL) and increase HDL levels, which helps in managing hyperlipidemia.
Choice B rationale
This choice is incorrect as gemfibrozil does not reduce HDL but rather increases it while reducing plasma triglycerides (VLDL).
Choice C rationale
Gemfibrozil is not indicated for the treatment of hypertension; it is used for lipid disorders.
Choice D rationale
Gemfibrozil is not used for the treatment of deep vein thrombosis (DVT); it is specifically used to manage lipid levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metoprolol is a beta-adrenergic blocker that works by decreasing heart rate, myocardial contractility, and cardiac output. It is commonly used to treat hypertension by reducing the workload on the heart and lowering blood pressure.
Choice B rationale
Nitroglycerin is a vasodilator that is used to treat angina by dilating blood vessels and improving blood flow to the heart. It does not have the same mechanism of action as beta-adrenergic blockers.
Choice C rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps relax blood vessels and lower blood pressure. It does not directly decrease heart rate or myocardial contractility like beta-adrenergic blockers.
Choice D rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver. It is not used to treat hypertension and does not have the same mechanism of action as beta-adrenergic blockers.
Correct Answer is D
Explanation
Choice A rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle, not the distal tubule.
Choice B rationale
Spironolactone is a potassium-sparing diuretic that works on the collecting ducts and late distal tubules, not the distal tubule.
Choice C rationale
Mannitol is an osmotic diuretic that acts on the proximal tubule and the descending limb of the loop of Henle, not the distal tubule.
Choice D rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, making it the correct answer.
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