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."
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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Related Questions
Correct Answer is B
Explanation
B. Hearing loss can indeed be an adverse effect associated with furosemide use, especially when high doses are administered rapidly intravenously or when the medication is used long-term. This occurs due to furosemide's potential to cause ototoxicity, affecting the inner ear and leading to hearing impairment.
A. Furosemide is not known to increase blood pressure. In fact, it typically helps reduce blood pressure by reducing fluid volume through its diuretic action. Therefore, increased blood pressure would not be an adverse effect of furosemide.
C Ankle edema is not typically an adverse effect of furosemide. In fact, furosemide is used to treat edema by reducing fluid retention, so the presence of ankle edema would indicate inadequate response to the medication or progression of the underlying condition.
D. Furosemide is not known to cause decreased blood sugar levels. Instead, it can cause electrolyte imbalances such as hypokalemia (low potassium levels), which might manifest with symptoms similar to hypoglycemia but does not directly lower blood sugar levels.
Correct Answer is B
Explanation
B. Methotrexate is a contraindication for live attenuated vaccines like Zostavax. It suppresses the immune system, which can reduce the effectiveness of the vaccine and increase the risk of developing the infection from the vaccine strain.
A. Metformin is not a contraindication for receiving the shingles vaccine. It does not affect the immune system in a way that would interfere with the vaccine's efficacy or safety.
C. Estrogen therapy is not a contraindication for the shingles vaccine. It does not affect the immune system in a manner that would interfere with the vaccine's efficacy or safety.
D. Esomeprazole is not a contraindication for the shingles vaccine. It does not affect the immune system or interact with the vaccine in a way that would make the vaccine unsafe or less effective.
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