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","B","C"]
Explanation
A. Impulsiveness is a common symptom of ADHD, where children may act without thinking about the consequences.
B. Being easily distracted is another hallmark symptom of ADHD, where children may have difficulty sustaining attention on tasks or activities.
C. Excessive talking or difficulty remaining seated are also common symptoms of ADHD, reflecting hyperactive or impulsive behavior.
D. Violent behavior is not typically a primary symptom of ADHD and may suggest other behavioral or emotional issues.
Correct Answer is B
Explanation
Explanation:
A. Beta blockers are used to manage blood pressure and heart rate but are a different class.
B. Isosorbide is a nitrate, which is used primarily to treat and prevent episodes of angina by relaxing and widening blood vessels.
C. Calcium channel blockers also manage blood pressure and chest pain but act through a different mechanism.
D. Glycoprotein IIb/IIIa receptor antagonists are used to prevent platelet aggregation and are typically used in acute coronary syndrome, not as a long-term treatment for angina.
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