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 B
Explanation
A. P wave touching the T wave can indicate an issue but is less urgent than chest pain.
B. Midsternal chest pain could indicate myocardial ischemia or infarction, requiring immediate intervention.
C. Increased urine output is not an urgent concern in this context.
D. Mild orthostatic hypotension is not as urgent as chest pain.
Correct Answer is D
Explanation
A. Drinking water is not likely to alleviate the headache caused by the nitrate.
B. Holding the next dose is not necessary unless the headache becomes severe or is associated with other symptoms.
C. Initiating oxygen therapy is unnecessary for a headache caused by nitrate use.
D. A headache is a common side effect of nitrate administration due to the vasodilation effect. Administering PRN acetaminophen can help relieve the headache.
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