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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.

B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

A. Hypertension B. Diuresis C. Bradycardia D. Headache

Correct Answer is D

Explanation

A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.

B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.

C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.

D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

Correct Answer is A

Explanation

What is the most common adverse effect of nitroglycerin for which the patient is monitored?

Correct Answer is D

Explanation

A client has been prescribed diltiazem (Cardizem), and asks the nurse what type of drug this is. Which response by the nurse is most appropriate?

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

The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?

A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of lithium for this client is 1.3 mEq/L What is the normal range of lithium?

The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?

A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?