A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?

Your heart rate may be lower after starting this medication.

Report any dark urine after starting the medication.

Your stool may be black after starting the medication.

Report any dizziness when standing after starting the medication.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Simvastatin is not typically associated with lowering heart rate as a side effect. This statement is incorrect.

B. Rhabdomyolysis, a severe side effect of statin medications like simvastatin, can cause dark urine due to the presence of myoglobin from muscle breakdown. Therefore, it is important for the client to report any dark urine to their healthcare provider.

C. Black stool is not a common side effect of simvastatin. This statement is incorrect.

D. Dizziness when standing is not a common side effect of simvastatin. This statement is incorrect.

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Correct Answer is C

Explanation

A. “I should not have any coffee 3 hours after the exam.” This statement is not accurate. The restriction related to coffee is usually before the test, not after.

B. “I should not exercise 3 hours after the exam.” This statement is incorrect. The restriction on exercise typically applies before the test, not after.

C. “I should not have beta blockers 3 hours before the exam.” Correct! Beta blockers can affect heart rate and blood pressure, so avoiding them before the test is essential.

D. “I should not smoke 3 hours before the exam.” While it’s generally advisable to avoid smoking before the test, this statement does not specifically address the cardiac stress test.

A. Complete an electrocardiogram. B. Obtain a C-reactive protein level. C. Administer an anti-hypertensive medication. D. Complete an echocardiogram.

Correct Answer is A

Explanation

Rationale:

A. Completing an electrocardiogram (ECG) is a priority in assessing a patient with chest pain to evaluate for signs of acute myocardial infarction or other cardiac abnormalities.

B. Obtaining a C-reactive protein level may be useful in certain situations to assess inflammation, but it is not a priority in the acute management of chest pain.

C. Administering an anti-hypertensive medication is not a priority unless the patient's blood pressure is significantly elevated and causing acute symptoms.

D. Completing an echocardiogram may be indicated later in the assessment process but is not typically performed immediately in the emergency room for evaluation of chest pain.

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A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the preparations needed before completing a cardiac stress test. Which of the following statements by the client would indicate the teaching was effective?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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