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 D
Explanation
Explanation:
A. Adequate hydration is important to prevent lithium toxicity; decreasing fluid intake is not recommended.
B. Constipation can slow the excretion of lithium and may increase the risk of toxicity, but it is not the most appropriate preventive measure.
C. Sudden changes in sodium intake can affect lithium levels, so restricting sodium-rich foods without medical advice is not advisable.
D. Clients should be cautious with physical activity in hot weather, as excessive sweating can lead to dehydration, increasing the risk of lithium toxicity.
Correct Answer is D
Explanation
A. Taking cholestyramine with food may interfere with its absorption, reducing its effectiveness.
B. Taking cholestyramine without food is not typically recommended.
C. Taking cholestyramine in the morning is not specifically indicated; it can be taken at any time of the day.
D. Taking cholestyramine with large amounts of fluid helps prevent gastrointestinal side effects and improves its effectiveness in lowering cholesterol levels.
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