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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Verapamil is a calcium channel blocker, not a beta blocker.
B. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, not a beta blocker.
C. Atenolol is a beta blocker commonly used to treat hypertension, angina, and other cardiovascular conditions.
D. Clopidogrel is an antiplatelet medication used to prevent blood clots, not a beta blocker.
Correct Answer is ["A","B","C"]
Explanation
A. Impulsiveness is a common symptom of ADHD, where children may act without thinking about the consequences.
B. Being easily distracted is another hallmark symptom of ADHD, where children may have difficulty sustaining attention on tasks or activities.
C. Excessive talking or difficulty remaining seated are also common symptoms of ADHD, reflecting hyperactive or impulsive behavior.
D. Violent behavior is not typically a primary symptom of ADHD and may suggest other behavioral or emotional issues.
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