The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?
Take medication at night and avoid grapefruit juice.
Take medication on an empty stomach before breakfast.
Avoid dietary intake of dark, leafy greens.
Increase intake of potassium-rich foods and alcohol.
The Correct Answer is A
A. Lovastatin is most effective when taken at night because cholesterol synthesis primarily occurs during sleep. Grapefruit juice should be avoided as it can increase the drug's concentration, leading to potential toxicity.
B. Lovastatin should be taken with food, preferably in the evening, to enhance absorption and effectiveness.
C. Dark, leafy greens are not contraindicated with lovastatin; they do not interfere with the medication’s action.
D. Alcohol intake should be limited while on statins due to the increased risk of liver damage, and there is no need to increase potassium-rich foods specifically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diluting liquid iron preparations with juice or water and using a straw can help prevent staining of the teeth and improve absorption.
B. Dairy products can inhibit iron absorption, so they should be avoided when taking iron supplements.
C. Green or black stools are a common side effect of iron supplements and do not typically require notifying the provider unless there are additional concerns.
D. Citrus juices, such as orange juice, can actually enhance iron absorption and are often recommended to be taken with iron supplements.
Correct Answer is A
Explanation
A. Lithium is a mood stabilizer specifically used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is used for anxiety management, not for treating acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating acute mania.
D. Paroxetine (Paxil) is an antidepressant used for depression and is not indicated for treating acute mania.
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