A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Decrease in LDL cholesterol from last visit.

Generalized muscle aches.

Nausea when taking the medication on an empty stomach

Clear, light yellow urine output

Answer and Explanation

The Correct Answer is B

A. A decrease in LDL cholesterol is a desired effect of simvastatin and does not indicate a problem.

B. Generalized muscle aches are a significant concern for patients on statin medications, such as simvastatin. This can be indicative of a serious side effect called rhabdomyolysis, a condition where muscle tissue breaks down and can lead to kidney damage. This should be communicated to the healthcare provider immediately for further evaluation and possible discontinuation of the medication.

C. Nausea when taking the medication on an empty stomach is a common side effect and may be addressed with guidance on when to take the medication.

D. Clear, light yellow urine is normal and does not require further action.

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Correct Answer is ["8"]

Explanation

Calculate the total infusion time:

Total volume (mL) / Infusion rate (mL/hr) = Infusion time (hours)

1000 mL / 125 mL/hr = 8 hours

Therefore, the IV pump should infuse the 1-liter bag of 0.9% sodium chloride over 8 hours.

A. Venous insufficiency B. Intermittent claudication C. Neuropathy D. Deep vein thrombosis

Correct Answer is B

Explanation

A. Venous insufficiency results in symptoms such as swelling, aching, or heaviness, especially in the lower legs, but does not typically cause pain with exertion that is relieved by rest.

B. Intermittent claudication refers to pain and cramping in the legs that occurs during physical activity (like walking) due to reduced blood flow, which is relieved by rest. This is a hallmark symptom of peripheral arterial disease (PAD).

C. Neuropathy refers to nerve damage, often seen in conditions like diabetes, and is usually characterized by tingling, numbness, or burning sensations, not cramping or pain relieved by rest.

D. Deep vein thrombosis (DVT) presents with swelling, redness, warmth, and possible pain in the affected leg due to blood clot formation, not cramping with exertion.

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A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["8"]

Explanation

The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?

Correct Answer is B

Explanation

The nurse is planning to teach a client with peripheral arterial disease about measures to limit disease progression. Which items would the nurse include on a list of suggestions for the client? Select all that apply.

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

A patient is taking an ACE inhibitor for hypertension. The patient reports a constant, dry, hacking cough. The nurse would expect the provider to change the current treatment to which of the following medications?

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?