Mr. Edward Long is a 50-year-old office worker who has gained 50 pounds over the past 5 years. His blood pressure has consistently been high, but he has declined to take medication for the condition. His cholesterol level has been above 210 mg/dL on his last three office visits. He claims to have no chronic diseases and is at the office seeking assistance concerning his weight gain. While there, the healthcare provider speaks to him about his cholesterol level and hypertension.

The health provider ordered atorvastatin (Lipitor) for his high lipids, and hydrochlorothiazide for his hypertension. Mr. Long agrees with this treatment plan. He is returning now for a 1 month follow-up.
Which of the following assessment findings is a priority for the nurse to follow- up?

Blood pressure 130/80

States knee pain is currently a 5/10 (on a 0 to 10 pain intensity scale)

Hypoactive bowel sounds X4

Complains of muscle weakness

Answer and Explanation

The Correct Answer is D

Explanation:

A. A blood pressure of 130/80 is within the target range (below 140/90 for most individuals) and does not require immediate follow-up.

B. Knee pain, while important, is not an immediate priority compared to potential medication side effects or complications.

C. Hypoactive bowel sounds, while needing monitoring, are not typically a priority over potential adverse effects of medication.

D. Complaints of muscle weakness could indicate a potential side effect of atorvastatin (Lipitor), which should be promptly addressed to prevent complications such as rhabdomyolysis. Therefore, it is the priority assessment finding for the nurse to follow-up.

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Correct Answer is B

Explanation

A. Avoiding tyramine-containing foods is relevant for patients taking MAOIs, not SSRIs.

B. Sexual dysfunction, including decreased libido and difficulty achieving orgasm, is one of the most common adverse effects of SSRIs and should be discussed during patient education.

C. Signs and symptoms of hypertension are not directly related to SSRIs; they may occur with other medications or conditions.

D. Tremors are not as common with SSRIs compared to other classes of antidepressants such as tricyclic antidepressants.

A. An ACE inhibitor B. Thrombolytics C. Aspirin D. A potassium-sparing diuretic E. A beta blocker

Correct Answer is ["B","C","E"]

Explanation

A. ACE inhibitors may be started later to manage heart failure or hypertension after a heart attack but are not typically given acutely during a myocardial infarction.

B. Thrombolytics, such as alteplase, are given as soon as possible after a heart attack to dissolve the blood clot causing the blockage in the coronary artery.

C. Aspirin is commonly administered during a heart attack to help prevent further clot formation and reduce the risk of complications.

D. Potassium-sparing diuretics are not typically given during a myocardial infarction but may be used later in the management of heart failure.

E. Beta blockers are commonly given during and after a heart attack to reduce the heart's workload, decrease oxygen demand, and improve survival rates.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient education for the patient started on a selective serotonin reuptake inhibitor would include:

Correct Answer is B

Explanation

The patient is complaining of a viselike pain in the chest and has been diagnosed with a myocardial infarction. The nurse anticipates that he may be given which of the following medications? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?

The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

The organic nitrates relieve angina pain by veins and coronary arteries.

The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client?