After reviewing the client's chart upon admission to the unit, the nurse consults the healthcare provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?
Blood glucose of 182 mg/dL
History of high cholesterol
Elevated liver enzymes
History of peptic ulcers
The Correct Answer is C
A. Blood glucose elevation is a concern for statins, but it is not a primary reason for questioning the order.
B. A history of high cholesterol is common and would not trigger concern regarding lovastatin.
C. Lovastatin can cause liver toxicity, so elevated liver enzymes are a contraindication or cause for concern when prescribing this medication. The nurse should verify this before starting the medication.
D. A history of peptic ulcers is unrelated to the use of lovastatin and would not be a concern in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A client with low blood pressure (98/58 mm Hg) who requires a beta blocker should be seen first because beta blockers can lower blood pressure further, possibly leading to hypotension or dizziness.
B. A hypertensive client with a blood pressure of 156/90 mm Hg is stable and does not require immediate intervention.
C. While pain medication is important, it is not as urgent as addressing a client with low blood pressure and a medication that can worsen the condition.
D. The client who just had captopril can wait to use the bathroom, as the priority is addressing their blood pressure and captopril's effect.
Correct Answer is ["2.5"]
Explanation
Calculation:
Desired dose: 0.25 mg
Available concentration: 0.1 mg/mL
Volume to administer: Desired dose / Available concentration = 0.25 mg / 0.1 mg/mL = 2.5 mL.
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