What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?

To calculate the dose of methylprednisolone sodium succinate that the nurse should administer, we can follow these steps:

Convert the client's weight from pounds to kilograms:

169 lb ÷ 2.2 = 76.82 kg (rounded to two decimal places)

Calculate the dose of methylprednisolone sodium succinate:

30 mg/kg × 76.82 kg = 2,304.6 mg

Determine the volume of methylprednisolone sodium succinate needed using the available concentration:

2,304.6 mg ÷ 125 mg/mL = 18.437 mL

Rounding to the nearest whole number, the nurse should administer 18 mL of methylprednisolone sodium succinate via intermittent IV bolus.

Choice A reason: This choice is incorrect because fluids should not be limited to 1000 mL daily for a client taking hydrochlorothiazide. Hydrochlorothiazide is a diuretic that causes the body to lose water and salt through urine. Limiting fluids can lead to dehydration, electrolyte imbalance, and kidney damage. The client should drink enough fluids to prevent thirst and dry mouth, and follow the doctor's advice on fluid intake.

Choice B reason: This choice is incorrect because this medication is not best taken at night for a client taking hydrochlorothiazide. Hydrochlorothiazide can cause frequent urination, which can disrupt the sleep cycle and cause fatigue. The client should take this medication in the morning or at least 4 hours before bedtime to avoid nocturia (nighttime urination).

Choice C reason: This choice is incorrect because dairy products should not be avoided while on this medication for a client taking hydrochlorothiazide. Hydrochlorothiazide can lower the level of calcium in the blood, which can cause muscle weakness, cramps, and osteoporosis. Dairy products are a good source of calcium and can help prevent calcium deficiency. The client should consume adequate amounts of calcium and vitamin D, and have their blood calcium level checked regularly.

Choice D reason: This choice is correct because the client should consume high potassium foods such as bananas and oranges while on this medication. Hydrochlorothiazide can lower the level of potassium in the blood, which can cause irregular heartbeat, muscle weakness, and numbness. Potassium-rich foods can help prevent potassium deficiency and maintain normal heart and muscle function. The client should also have their blood potassium level checked regularly and avoid salt substitutes that contain potassium.