A nurse is reinforcing teaching with a client who is to start taking atorvastatin. The nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy?

Vision testing

Liver function tests

Dental examination

Papanicolaou test

Answer and Explanation

The Correct Answer is B

A. Vision testing: Not required for atorvastatin. Vision changes are not a known adverse effect.

B. Liver function tests: Atorvastatin can cause hepatotoxicity; baseline liver enzymes are required before therapy and periodically thereafter.

C. Dental examination: Not necessary before starting atorvastatin; it does not affect dental health.

D. Papanicolaou test: While important for general health, it is not related to atorvastatin therapy.

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Correct Answer is C

Explanation

A. Perform passive range of motion daily: Important, but not as critical as assessing for respiratory complications.

B. Elevate lower extremities on two pillows: Helps prevent edema, but not the priority.

C. Auscultate breath sounds at least every two hours: Immobility increases the risk for respiratory complications like atelectasis or pneumonia.

D. Make sure the client has an intake of 2,000 ml of fluid per day: Important for hydration but not the top priority.

A. Take the medication on an empty stomach. B. Take the medication at bedtime. C. Muscle weakness is an expected adverse effect. D. Increase daily intake of foods high in potassium.

Correct Answer is D

Explanation

A. Take the medication on an empty stomach: Hydrochlorothiazide can be taken with or without food. Taking it with food can reduce gastrointestinal upset, so this is not necessary advice.

B. Take the medication at bedtime: Hydrochlorothiazide is a diuretic, and taking it at bedtime may cause nocturia (frequent nighttime urination), which can disturb sleep.

C. Muscle weakness is an expected adverse effect: Muscle weakness is not an expected effect but can be a sign of hypokalemia, a possible adverse effect due to potassium loss.

D. Increase daily intake of foods high in potassium: Thiazide diuretics like hydrochlorothiazide can cause hypokalemia, so clients are encouraged to eat potassium-rich foods (e.g., bananas, oranges, spinach).

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A nurse is reinforcing teaching with a client who is to start taking atorvastatin. The nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to contribute to the client's plan of care?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is to start taking atorvastatin. The nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy?

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