A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?

Elevated alanine aminotransferase (ALT).

Elevated troponin T.

Elevated WBC count.

Elevated thyroid-stimulating hormone (TSH).

Answer and Explanation

The Correct Answer is A

Choice A rationale
Elevated alanine aminotransferase (ALT) is an adverse effect of simvastatin therapy. Statins, including simvastatin, can cause liver damage, which is indicated by elevated liver enzymes such as ALT2.
Choice B rationale
Elevated troponin T is not typically associated with simvastatin therapy. Troponin T is a marker for cardiac muscle damage, not a common adverse effect of statins.
Choice C rationale
Elevated WBC count is not a known adverse effect of simvastatin therapy. An elevated WBC count usually indicates an infection or inflammation.
Choice D rationale
Elevated thyroid-stimulating hormone (TSH) is not associated with simvastatin therapy. TSH levels are related to thyroid function, not the effects of statins.

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Correct Answer is C

Explanation

Choice A rationale
Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.
Choice B rationale
Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.
Choice C rationale
Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.
Choice D rationale
Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

A. It is expected for your stools to be black while taking this medication. B. Take this medication with an antacid if you experience heartburn from the medication. C. Drinking orange juice with this medication decreases the absorption of the medication. D. You can take this medication with meals if you experience discomfort when taking on an empty stomach.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A. It is expected for your stools to be black while taking this medication. Contraindicated. Black stools can indicate gastrointestinal bleeding and should be reported to a healthcare provider immediately.

B. Take this medication with an antacid if you experience heartburn from the medication. Contraindicated. Antacids can interfere with the absorption of many medications and should not be taken without consulting a healthcare provider.

C. Drinking orange juice with this medication decreases the absorption of the medication. Indicated. Certain medications can have reduced absorption when taken with acidic beverages like orange juice.

D. You can take this medication with meals if you experience discomfort when taking on an empty stomach. Indicated. Taking medication with food can help reduce gastrointestinal discomfort.

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A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking lisinopril for several months. The nurse should plan to check which of the following laboratory values to monitor for adverse effects of the medication?

Correct Answer is C

Explanation

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

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