The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

"This medication will help lower my cholesterol."

"This medication can help protect my brain from a stroke."

"This medication will help stop plaques in my blood vessels

"Muscle pains are normal for the first few weeks."

Answer and Explanation

The Correct Answer is A

A. "This medication will help lower my cholesterol.": Statins are primarily used to lower cholesterol levels, which helps reduce the risk of cardiovascular diseases including strokes.
B. "This medication can help protect my brain from a stroke.": While statins indirectly help reduce the risk of a stroke by lowering cholesterol, they do not directly protect the brain from stroke.
C. "This medication will help stop plaques in my blood vessels.": Statins can reduce the progression of atherosclerosis by lowering cholesterol, but they do not stop plaque formation completely.
D. "Muscle pains are normal for the first few weeks.": Muscle pain (myopathy) can be a side effect of statins and should be reported to a healthcare provider, as it can indicate a serious condition like rhabdomyolysis, not something that should be considered normal.

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Correct Answer is D

Explanation

A. Lying prone as prescribed: While lying prone can help prevent hip flexion contractures, it is not directly related to promoting ambulation. It is typically part of post-operative care to prevent contractures in the hip, but ambulation primarily depends on upper body strength and prosthetic training.
B. Maintaining residual limb elevation: Elevation of the residual limb is important immediately postoperatively to reduce swelling, but prolonged elevation can lead to contractures, which can hinder ambulation.
C. Promoting coordination exercises: Coordination is important, but for ambulation, building strength, especially in the upper body, is crucial to support the use of assistive devices and maintaining balance.
D. Building upper body strength: This is essential for promoting ambulation as it helps the patient in using assistive devices like crutches or walkers and in transferring safely. Upper body strength is crucial for balance and mobility with a prosthetic limb.

A. "Smoking cessation is important because nicotine is a vasoconstrictor." B. "Adequate fluid intake is important to maintain blood pressure." C. Those most affected are middle-aged women after menopause." D. "A low-fat diet is required to reduce atherosclerosis in large arteries."

Correct Answer is A

Explanation

A. "Smoking cessation is important because nicotine is a vasoconstrictor.": Buerger disease is strongly associated with tobacco use, and nicotine causes vasoconstriction, which exacerbates the condition. Smoking cessation is crucial in managing and preventing progression.
B. "Adequate fluid intake is important to maintain blood pressure.": While staying hydrated is generally important, it is not specifically related to the management of Buerger disease, which is more focused on vascular health and smoking cessation.
C. "Those most affected are middle-aged women after menopause.": Buerger disease predominantly affects young male smokers, not middle-aged women.
D. "A low-fat diet is required to reduce atherosclerosis in large arteries.": Buerger disease involves inflammation and thrombosis in small and medium-sized arteries and veins, not atherosclerosis in large arteries. Therefore, a low-fat diet, while beneficial for general cardiovascular health, is not specifically targeted for Buerger disease.

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The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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