The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?
Orange juice
Coenzyme Q10 (CoQ10) supplements
Grapefruit juice
All fruit juices
The Correct Answer is C
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Feelings of despair or hopelessness are common symptoms of depression, reflecting a persistent low mood.
B. Increased energy is not typically associated with depression; instead, individuals with depression often experience fatigue or loss of energy.
C. Sleep disturbances, such as insomnia or hypersomnia, are common symptoms of depression, affecting both the ability to fall asleep and stay asleep.
D. Euphoria, or a feeling of intense happiness or excitement, is not typically associated with depression and may indicate a different mood disorder, such as bipolar disorder.
Correct Answer is ["B","C","D"]
Explanation
A. While medication may be necessary for some individuals with high lipid levels, lifestyle modifications should be attempted first.
B. Smoking cessation can help improve lipid profiles and overall cardiovascular health.
C. Increased exercise can help lower lipid levels and improve cardiovascular health.
D. Restricting dietary cholesterol can help lower blood lipid levels.
E. Unsaturated fats, particularly monounsaturated and polyunsaturated fats, are actually beneficial for heart health and should not be restricted.
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