The nurse is caring for a 35-year-old woman taking a beta hydroxy-beta-methylglutaryl coenzyme A(HMG-Co
Use barrier contraceptives.
Need for frequent ophthalmic examinations.
Information about a cholesterol-lowering diet.
Calling the doctor with any respiratory symptoms.
The Correct Answer is A
Choice A rationale
Barrier contraceptives are recommended for women taking HMG-CoA reductase inhibitors due to the potential teratogenic effects of these drugs. This precaution is crucial as these medications can cause fetal harm if used during pregnancy.
Choice B rationale
While ophthalmic examinations may be important for other medications, they are not a primary concern for HMG-CoA reductase inhibitors. These drugs mainly affect cholesterol synthesis and have less direct impact on vision.
Choice C rationale
Although a cholesterol-lowering diet is beneficial, it is not the primary teaching point when discussing HMG-CoA reductase inhibitors. The emphasis should be on medication adherence and managing potential adverse effects.
Choice D rationale
Reporting respiratory symptoms is important for many medications but is not the primary focus for HMG-CoA reductase inhibitors. The priority is to inform patients about the importance of contraception and potential side effects related to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
It is not correct to say that women are more prone to adverse effects from medications than men. Adverse effects can vary based on individual responses, and gender is not the sole determinant.
Choice B rationale
Women of reproductive age are often excluded from early-phase drug trials due to the potential risks that experimental drugs could pose to developing fetuses. The reproductive risk needs to be carefully managed to avoid harm.
Choice C rationale
While it is true that drugs can affect women differently than men, this answer does not directly address the specific reason why women are excluded from Phase 1 studies, which is primarily due to the potential risks to reproductive health.
Choice D rationale
This is incorrect because drugs are not tested only on men because they are stronger. This statement is not scientifically accurate and does not reflect the principles of clinical trial design.
Correct Answer is C
Explanation
Choice A rationale
Constipation can be a side effect of Parkinson's disease and dopaminergic medications, but it is not a primary safety concern compared to the risk of injury.
Choice B rationale
Risk for injuries related to cardiovascular effects and peripheral vascular disease is a concern, but the risk of orthostatic hypotension presents a more immediate danger for falls.
Choice C rationale
Parkinson's disease and its treatments can cause orthostatic hypotension, significantly increasing the risk of falls and injury. This risk needs to be carefully managed in the patient's care plan.
Choice D rationale
Diarrhea is not commonly associated with Parkinson's disease or its treatments. Constipation is more prevalent due to both the disease and dopaminergic medication effects.
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