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 A
Explanation
Choice A rationale
Sumatriptan (Imitrex) is a selective serotonin receptor agonist that helps constrict blood vessels in the brain and is typically used to treat migraine and cluster headaches. Its effectiveness is due to its ability to reduce inflammation and alleviate the pain associated with these headaches.
Choice B rationale
Naratriptan (Amerge) is also a triptan used for the treatment of migraines but is not specifically indicated for cluster headaches.
Choice C rationale
Frovatriptan (Frova) is used mainly for the acute treatment of migraine headaches and is not indicated for cluster headaches.
Choice D rationale
Almotriptan (Axert) is used to treat migraines and does not have an indication for cluster headaches.
Correct Answer is C
Explanation
Choice A rationale
Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.
Choice B rationale
Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.
Choice C rationale
Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.
Choice D rationale
Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.
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