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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Airborne precautions are unnecessary for administering hydralazine, as it does not involve airborne transmission risks.
B. Hydralazine can cause orthostatic hypotension, especially in older adults, increasing the risk of falls. Therefore, fall precautions are essential.
C. Suicide precautions are not specifically indicated for hydralazine administration.
D. Standard precautions are always in place but do not address the specific risks associated with hydralazine.

A. Medications can elevate potassium levels, avoid salt supplements. B. Notify the provider with yellow or blurred vision. C. Medication cannot be stopped abruptly. D. Avoid grapefruit juice.

Correct Answer is C

Explanation

A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering the first dose of hydralazine to an older adult. The nurse should place the client on which of the following precautions?

Correct Answer is B

Explanation

A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

Correct Answer is C

Explanation

The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?

The nurse is preparing to administer digoxin (Lanoxin) 750 mcg PO daily. Available: See label below. How many pills should the nurse administer? Do not round your answer. Enter numeric answer only.

The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?

The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

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