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 B
Explanation
Rationale:
A. Nitroglycerin is typically taken as needed for angina symptoms, not routinely before going to bed.
B. Taking one tablet at the first indication of chest pain is the correct instruction for using nitroglycerin to relieve angina symptoms.
C. While multiple doses of nitroglycerin may be needed during an acute angina attack, they should be spaced at least 5 minutes apart, not every 15 minutes.
D. Nitroglycerin is not typically used to lower blood pressure. It is primarily used to relieve angina symptoms by dilating blood vessels and improving blood flow to the heart.
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.
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