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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
To calculate the IV pump rate in mL/hr, you can use the following formula:
IV pump rate (mL/hr)=Total volume of infusion (mL)/Total time for infusion (hours)
Total volume of infusion=500 mL Total time for infusion=4 hours
IV pump rate (mL/hr)=500 mL/4 hours
=125mL/hr
So, the nurse should set the IV pump to deliver 125 mL/hr.
Correct Answer is ["B","C"]
Explanation
Rationale:
A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.
B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.
C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.
D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.
E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.
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