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?

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

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

"Avoid consuming dairy products while taking this medication."

"You should take the medication in the morning."

Answer and Explanation

The Correct Answer is B

A. "You may crush the medication and mix it with applesauce": Lovastatin extended-release tablets should not be crushed or chewed as it may alter the drug's release profile, leading to
potential adverse effects or reduced efficacy. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You will need liver function tests before beginning therapy": Lovastatin is a statin

medication used to lower cholesterol levels. Liver function tests (LFTs) are necessary before starting statin therapy and periodically during treatment to monitor for potential hepatotoxicity.
C. "Avoid consuming dairy products while taking this medication": Lovastatin can be taken with or without food, and there is no specific requirement to avoid dairy products. This statement is not relevant to lovastatin therapy and should not be included in the teaching.
D. "You should take the medication in the morning": Lovastatin can be taken at any time of the day, with or without food. There is no specific requirement to take it in the morning. Therefore, this statement is incorrect and should not be included in the teaching.

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Correct Answer is C

Explanation

Nausea is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
Dry cough is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
Eyelid edema can indicate angioedema, a serious adverse reaction to lisinopril that requires immediate medical attention.
Insomnia is not a common side effect of lisinopril and does not typically require immediate reporting.

A. The client's liver function test results are within the expected reference range. B. The client has a positive purified protein derivative test. C. The client tests negative for HIV. D. The client has a negative sputum culture.

Correct Answer is D

Explanation

A. The client's liver function test results are within the expected reference range: While monitoring liver function tests is essential for clients taking isoniazid and rifampin due to
potential hepatotoxicity, normal liver function test results do not necessarily indicate adherence to the medication regimen. Adherence is best assessed by the client's response to treatment, such as improvement in symptoms and resolution of the infection.
B. The client has a positive purified protein derivative test: A positive purified protein derivative (PPD) test indicates exposure to Mycobacterium tuberculosis but does not provide information about the client's adherence to the medication regimen for tuberculosis treatment. Adherence to treatment is determined by factors such as medication compliance and therapeutic response.
C. The client tests negative for HIV: The client's HIV status is not directly related to adherence to the tuberculosis medication regimen. While co-infection with HIV can impact the management of tuberculosis, testing negative for HIV does not confirm adherence to tuberculosis treatment.
D. The client has a negative sputum culture: A negative sputum culture indicates the absence of viable Mycobacterium tuberculosis organisms in the sputum sample and suggests effective
treatment and adherence to the medication regimen. Monitoring sputum culture conversion is a key indicator of treatment success in tuberculosis therapy.

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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

A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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