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 B
Explanation
A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.
Correct Answer is D
Explanation
A. Nicotine cravings or withdrawal are expected and do not require immediate notification of the provider.
B. Headache and nausea are common side effects but do not require immediate notification unless severe.
C. Dry mouth or constipation can be side effects but are not typically urgent concerns.
D. Varenicline has been associated with serious neuropsychiatric effects, including mood swings, depression, and suicidal ideation. These symptoms require immediate medical attention.
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