A nurse is reviewing the plan of care with a client who has a new prescription for lovastatin. Which of the following statements by the client should indicate to the nurse a need for further assessment?

I take metformin for my diabetes.

"I should avoid drinking grapefruit juice."

I am trying to decrease my dietary fat intake"

I was just diagnosed with hepatitis B

Answer and Explanation

The Correct Answer is D

A. I take metformin for my diabetes:
This statement indicates that the client is aware of taking metformin for diabetes. It is relevant information but doesn't raise immediate concerns about the interaction with lovastatin.
B. "I should avoid drinking grapefruit juice:"
This is a correct statement. Grapefruit juice can interact with lovastatin, potentially increasing the risk of side effects. Advising the client to avoid grapefruit juice is a proper precaution when taking lovastatin.
C. I am trying to decrease my dietary fat intake:
This statement indicates a positive lifestyle change that aligns with the goal of using lovastatin to lower cholesterol. It is a positive and relevant statement.
D. "I was just diagnosed with hepatitis B:"
This is the correct answer. Lovastatin is metabolized by the liver, and liver function is an important consideration. The nurse should assess the severity of hepatitis B, the client's liver function, and whether lovastatin is contraindicated or requires dose adjustment based on the hepatic impairment.

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Correct Answer is D

Explanation

A. Potassium chloride 10 mEq/hr:
While potassium replacement is crucial in DKA, initiating it before fluid resuscitation can lead to further complications. Insulin administration can drive potassium back into cells, potentially causing hypokalemia. Fluid resuscitation helps address dehydration and electrolyte imbalances.
B. Bicarbonate by IV infusion:

Bicarbonate therapy is generally reserved for severe cases of acidosis, and its use in DKA is controversial. In this scenario, the blood glucose level is not significantly elevated, and the focus should be on fluid resuscitation and insulin administration.
C. Subcutaneous insulin injections:
While insulin is a critical component of DKA management, it should be administered intravenously for faster and more precise control of blood glucose levels. Subcutaneous insulin injections are not the initial route of administration in DKA.
D. 0.9% sodium chloride 15 mL/kg/hr:
This is the correct answer. The first step in DKA management is fluid resuscitation with isotonic saline (0.9% sodium chloride). The goal is to address dehydration, restore intravascular volume, and improve perfusion. Insulin therapy and other interventions follow fluid resuscitation.

A. Bradycardia B. Hypotension C. Polyuria D. Nausea

Correct Answer is B

Explanation

A. Bradycardia:
Bradycardia is not a typical manifestation of an allergic reaction. Allergic reactions are more likely to involve symptoms such as rash, itching, swelling, and cardiovascular symptoms like tachycardia rather than bradycardia.
B. Hypotension:
This is the correct answer. Hypotension (low blood pressure) can be a sign of an allergic reaction, particularly in severe cases. Anaphylaxis, a severe allergic reaction, can lead to a rapid drop in blood pressure.
C. Polyuria:
Polyuria, excessive urine production, is not a typical manifestation of an allergic reaction. Allergic reactions are more likely to involve skin, respiratory, and cardiovascular symptoms.
D. Nausea:
Nausea can be a side effect of medications, but it is not a specific manifestation of an allergic reaction. Allergic reactions are more likely to present with symptoms such as skin rash, itching, or respiratory distress.

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A nurse is reviewing the plan of care with a client who has a new prescription for lovastatin. Which of the following statements by the client should indicate to the nurse a need for further assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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