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

Complete blood count.

Serum electrolytes.

Capillary blood glucose.

Serum liver enzymes.

Answer and Explanation

The Correct Answer is D

Choice A reason: A complete blood count (CBC) is not typically required before starting statin therapy. While a CBC can provide valuable information about a patient’s overall health, it does not specifically relate to the potential side effects or necessary monitoring for statin use. Statins primarily affect the liver, so monitoring liver function is more critical.

Choice B reason: Serum electrolytes are important for assessing overall metabolic and kidney function, but they are not directly related to the initiation of statin therapy. Statins do not typically affect electrolyte levels, so this test is not necessary before starting the medication.

Choice C reason: Capillary blood glucose levels are important for monitoring diabetes and blood sugar control. While statins can have an impact on blood glucose levels, this is not the primary concern when initiating therapy. Monitoring liver function is more directly related to the potential side effects of statins.

Choice D reason: Serum liver enzymes are crucial to review before starting statin therapy. Statins can cause liver enzyme elevations, indicating liver damage or dysfunction. Therefore, baseline liver enzyme levels should be obtained to monitor for any potential hepatotoxicity during treatment.

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Correct Answer is D

Explanation

Choice A reason:

Decreased episodes of incontinence are not a relevant outcome of administering zolpidem. Zolpidem is a sedative-hypnotic medication primarily used to treat insomnia by enhancing the activity of GABA, an inhibitory neurotransmitter. It does not affect urinary function or bladder control. Incontinence may be caused by other factors such as aging, prostate problems, or urinary tract infections, but it is not influenced by zolpidem.

Choice B reason:

Improved ability to concentrate is not a pertinent outcome of administering zolpidem. This medication does not enhance cognitive function or attention span. In fact, zolpidem may impair memory and cause daytime drowsiness or confusion in some patients. Its primary function is to induce sleep, not to improve concentration.

Choice C reason:

Exhibiting fewer emotional outbursts is not a significant outcome of administering zolpidem. This medication does not affect mood or behavior. In some cases, zolpidem may cause paradoxical reactions such as agitation, aggression, or hallucinations, especially in older adults. Therefore, it is not used to manage emotional outbursts.

Choice D reason:

Sleeps soundly through the night is the desired outcome of administering zolpidem. This medication is specifically designed to treat sleep problems, particularly difficulty falling asleep or staying asleep. By enhancing the activity of GABA, zolpidem helps induce and maintain sleep, which is the primary goal when prescribing this medication to patients with insomnia.

Correct Answer is ["0.8"]

Explanation

Calculation Steps

Step 1: Identify the concentration of the medication in the syringe.

The syringe is labeled “Enoxaparin sodium injection, USP 60 mg/0.6 mL.”

Step 2: Calculate the amount of medication per mL.

60 mg ÷ 0.6 mL = 100 mg/mL

Result = 100 mg/mL

Step 3: Determine the prescribed dose.

The prescribed dose is 80 mg.

Step 4: Calculate the volume to administer.

80 mg ÷ 100 mg/mL = 0.8 mL

Result = 0.8 mL

Therefore, the nurse should administer 0.8 mL.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer is D

Explanation

Correct Answer is ["0.8"]

Explanation

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