For a client with a new prescription for the cholesterol medication gemfibrozil, the nurse instructs the client to immediately report what symptoms?

Dry cough and nose bleed

Constipation and dry skin

Abdominal pain and jaundice

Hirsutism and flatulence

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect. Dry cough and nose bleed are not common side effects of gemfibrozil. They may indicate other conditions, such as allergies, infections, or bleeding disorders.

Choice B reason: This is incorrect. Constipation and dry skin are not common side effects of gemfibrozil. They may be caused by dehydration, dietary factors, or other medications.

Choice C reason: This is correct. Abdominal pain and jaundice are serious side effects of gemfibrozil. They may indicate liver damage, which can be fatal if not treated promptly. The client should report these symptoms to the prescriber immediately.

Choice D reason: This is incorrect. Hirsutism and flatulence are not common side effects of gemfibrozil. They may be associated with hormonal imbalances, digestive disorders, or other causes.

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Correct Answer is ["0.04"]

Explanation

To calculate the amount of exenatide 10 mcg needed from a concentration of 250 mcg/mL, we can use the following formula:

Amount (mL) = (Desired dose in mcg) / (Concentration in mcg/mL)

Plugging in the values:

Amount (mL) = 10 mcg / 250 mcg/mL

Calculating:

Amount (mL) = 0.04 mL

Rounding to the nearest hundredth:

Amount to administer = 0.04 mL

A. Recheck heart rate in one hour B. Give the digoxin as ordered C. Call prescriber and ask for chest x-ray D. Hold the digoxin and call the MD

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because there is no need to recheck the heart rate in one hour before giving the digoxin. The client's apical heart rate is within the normal range (60 to 100 beats per minute) and does not indicate bradycardia (slow heart rate), which is a sign of digoxin toxicity. The nurse should check the apical heart rate for one full minute before giving the digoxin and withhold the dose if the heart rate is below 60 beats per minute.

Choice B reason: This choice is correct because the client's digoxin level is within the therapeutic range (0.5 to 2.0 ng/mL) and does not indicate digoxin toxicity or underdosing. The client's vital signs and labs are also stable and do not indicate any adverse effects of digoxin. Digoxin is a cardiac glycoside that improves the contractility and efficiency of the heart and helps to control the heart rate and rhythm in clients with heart failure. The nurse should give the digoxin as ordered and monitor the client's response and digoxin level.

Choice C reason: This choice is incorrect because there is no indication for a chest x-ray for this client. A chest x-ray is a diagnostic test that can show the size and shape of the heart and lungs and detect any abnormalities, such as fluid accumulation, infection, or tumors. The client's symptoms and labs do not suggest any pulmonary complications or worsening of heart failure that would require a chest x-ray. The nurse should follow the provider's orders and protocols for chest x-ray indications.

Choice D reason: This choice is incorrect because there is no reason to hold the digoxin and call the MD for this client. The client's digoxin level is not too high or too low and does not require dose adjustment or discontinuation. The client's vital signs and labs are also normal and do not indicate any signs of digoxin toxicity or adverse effects. Holding the digoxin could cause the client's heart failure to worsen or cause arrhythmias. The nurse should only hold the digoxin and call the MD if the client has signs of digoxin toxicity, such as nausea, vomiting, visual disturbances, confusion, or bradycardia. .

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For a client with a new prescription for the cholesterol medication gemfibrozil, the nurse instructs the client to immediately report what symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.04"]

Explanation

A patient is being treated for heart failure. Labs: Sodium 146 meq/L, Potassium 4.2 mmol/L, Hemoglobin 10.5 gm/dL, White Blood Cells 12.2, digoxin level 0.8 ng/mL VS: BP 118/66, apical heart rate 68, O2 96% on 2L nasal cannula, temperature 98.4°F What will the nurse do with the digoxin order?

Correct Answer is B

Explanation

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