Which client's laboratory value should the nurse review prior to administering the initial dose of a statin medication?

Serum liver enzymes.

Serum electrolytes.

Complete blood count.

Capillary blood glucose.

Answer and Explanation

The Correct Answer is A

A. Serum liver enzymes: Statins are metabolized in the liver and can cause hepatotoxicity. Baseline liver enzyme levels, such as ALT and AST, should be reviewed before starting statin therapy to ensure the liver is functioning properly and to monitor for potential adverse effects.

B. Serum electrolytes: Electrolytes are important for overall health, but they are not specifically impacted by statin therapy. Reviewing electrolyte levels is not a priority before initiating statins unless other conditions warrant it.

C. Complete blood count: A complete blood count (CBC) provides valuable information about infection or anemia, but it is not directly related to the safety or monitoring of statin medications.

D. Capillary blood glucose: Statins have been associated with a slight risk of elevated blood glucose over long-term use, but an initial capillary blood glucose reading is not required prior to starting therapy. Liver function assessment is the priority.

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Convert grams to milligrams:

1.5 g x 1000 mg/g = 1500 mg

Calculate the volume to administer:

Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)

= 1500 mg / 500 mg/mL

= 3 mL

A. Compress the client's nares. B. Observe for facial flushing. C. Advise the client to rest. D. Elevate the client's feet.

Correct Answer is C

Explanation

A. Compress the client's nares: Compressing the nares is a technique used for nasal medication administration or controlling nosebleeds, not for sublingual or oral spray forms of nitroglycerin. This action is unrelated to nitroglycerin use for angina.

B. Observe for facial flushing: Facial flushing is a common side effect of nitroglycerin due to vasodilation. While it should be noted during monitoring, it is not the immediate next action after administration when addressing angina symptoms.

C. Advise the client to rest: Resting after nitroglycerin administration reduces myocardial oxygen demand, helping to relieve anginal pain more effectively. It also helps prevent hypotension and dizziness, which are common side effects of the medication.

D. Elevate the client's feet: Elevating the feet is typically done if hypotension occurs. It is not a standard next step immediately after giving nitroglycerin unless the client shows symptoms like syncope or significant blood pressure drops.

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Which client's laboratory value should the nurse review prior to administering the initial dose of a statin medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["3"]

Explanation

After administering nitroglycerin spray to a client experiencing angina, which action should the nurse implement next?

Correct Answer is C

Explanation

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