To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Remind the client to keep his appointments to have his cholesterol level checked.

Teach the client to weigh himself weekly and keep a log of the measurements.

Encourage the client to keep a diary of his food intake until his next visit to the clinic.

Assess the elasticity of the client's skin at the next scheduled clinic appointment.

Answer and Explanation

The Correct Answer is A

A. Remind the client to keep his appointments to have his cholesterol level checked: Ezetimibe works by reducing cholesterol absorption in the intestines. Its effectiveness is best evaluated through changes in cholesterol levels, making lab tests crucial for monitoring its impact.

B. Teach the client to weigh himself weekly and keep a log of the measurements: While monitoring weight can be important for other conditions, it is not the primary evaluation for the effectiveness of ezetimibe, which targets cholesterol levels rather than body weight.

C. Encourage the client to keep a diary of his food intake until his next visit to the clinic: Although a food diary can be helpful for managing diet, the effectiveness of ezetimibe is best assessed through cholesterol levels rather than dietary tracking alone.

D. Assess the elasticity of the client's skin at the next scheduled clinic appointment: Skin elasticity is not directly related to the effectiveness of ezetimibe. This medication’s primary impact is on cholesterol levels, which should be monitored through lab tests.

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Correct Answer is B

Explanation

A. Morphine: Morphine is used to relieve chest pain and anxiety in acute coronary syndromes. It acts as a vasodilator and analgesic, and there are no direct contraindications with recent sildenafil use, although blood pressure should still be monitored.

B. Nitroglycerin: Nitroglycerin is absolutely contraindicated in clients who have taken sildenafil within the past 24–48 hours. Both drugs are vasodilators, and their combination can lead to severe, life-threatening hypotension due to additive effects on vascular smooth muscle relaxation.

C. Aspirin: Aspirin is recommended in acute chest pain cases as it reduces platelet aggregation and helps prevent clot extension. It has no interaction with sildenafil and should not be withheld when myocardial ischemia is suspected.

D. Heparin: Heparin is an anticoagulant used in suspected myocardial infarction to prevent further clot formation. It does not have any adverse interactions with sildenafil and remains safe and beneficial in this context.

A. Chest tube insertion tray. B. Intubation tray. C. Ventilator. D. Crash cart.

Correct Answer is A

Explanation

A. Chest tube insertion tray: Thoracentesis may lead to complications like pneumothorax, especially in clients with lung disease such as emphysema. If air or fluid reaccumulates or lung collapse occurs, a chest tube may be urgently required to re-expand the lung and drain air or fluid buildup.

B. Intubation tray: While intubation may be needed in cases of severe respiratory failure, it is not the first-line equipment after an ineffective thoracentesis. It would only be used if the patient is unable to breathe adequately despite other interventions.

C. Ventilator: Mechanical ventilation is not immediately needed for a failed thoracentesis unless the client develops respiratory failure. It is a secondary measure if oxygenation cannot be maintained with basic support.

D. Crash cart: A crash cart is essential during cardiac arrest or life-threatening emergencies. It is not the most appropriate equipment to have specifically for an ineffective thoracentesis unless severe complications arise suddenly.

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To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Nursing Test Bank

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