A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?

"Avoid consuming dairy products while taking this medication.

"You may crush the medication and mix it with applesauce."

"You should take the medication in the morning.

"You will need liver function tests before beginning therapy."

Answer and Explanation

The Correct Answer is D

D. Statin medications like lovastatin can rarely cause liver enzyme abnormalities, so baseline liver function tests are typically recommended before starting therapy to establish a baseline. This statement is correct and important to include in the teaching. Regular monitoring of liver function tests may also be recommended during treatment to detect any potential liver-related side effects early.

A. Lovastatin is a statin medication used to lower cholesterol levels. Dairy products do not interact directly with lovastatin, so there is no specific need to avoid dairy while taking this medication.

B Lovastatin extended release formulations are designed to release the medication slowly over time. Crushing or chewing extended release tablets can disrupt this mechanism and lead to unintended rapid absorption of the medication.

C. Statin medications, including lovastatin, can be taken at any time of day. There is no specific requirement to take lovastatin in the morning.

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Correct Answer is C

Explanation

C. It is critical to ensure that the client remains responsive and that the sedation level does not deepen into unintended levels, such as deep sedation or general anesthesia, which would require more intensive monitoring and intervention.

A. Midazolam does not directly affect body temperature, and changes in temperature are not typically acute concerns following its administration.

B. Midazolam can cause a decrease in heart rate, especially when used in conjunction with other sedatives or narcotics. Monitoring heart rate helps detect any adverse cardiovascular effects promptly.

D. Midazolam, like other sedative medications, can depress respiratory drive, particularly if higher doses are used or if the client has underlying respiratory conditions. Monitoring oxygen saturation helps detect early signs of respiratory compromise.

A. Dexamethasone B. Epinephrine C. Dobutamine D. Nitroprusside

Correct Answer is D

Explanation

D. Nitroprusside is the medication of choice for managing hypertensive emergencies such as severe hypertension with end-organ damage (e.g., hypertensive encephalopathy, acute myocardial infarction). It rapidly reduces blood pressure, relieving symptoms such as severe headache and preventing complications associated with severely elevated blood pressure

A. Dexamethasone is not indicated for the acute management of severe hypertension. It is typically used for conditions such as inflammation, allergic reactions, or certain neurological conditions. It does not directly lower blood pressure and would not address the urgent need to reduce hypertensive emergency.

B. Epinephrine is not used for the treatment of hypertension in adults. It is primarily indicated for severe allergic reactions (anaphylaxis), cardiac arrest, and severe asthma exacerbations. Its use in hypertensive emergencies is not appropriate and could exacerbate hypertension.

C Dobutamine is used to increase cardiac output in conditions such as heart failure or cardiogenic shock. It does not have a role in the acute management of severe hypertension and would not address the elevated blood pressure in this scenario.

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A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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