While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?

Neutropenia

Liver dysfunction

Vitamin C deficiency

Pulmonary problems

Answer and Explanation

The Correct Answer is B

Choice A reason: Neutropenia is not a common side effect of antilipemic therapy, like statins, which primarily affect lipid metabolism and liver function. Other drugs, like chemotherapy, cause neutropenia. This is incorrect, as liver dysfunction is the primary concern to monitor in antilipemic therapy.

Choice B reason: Antilipemic therapy, especially statins, can cause liver dysfunction due to hepatotoxicity, elevating liver enzymes. Regular monitoring of liver function tests is essential to detect damage early, making this the correct problem for the nurse to monitor closely in patients on these medications.

Choice C reason: Vitamin C deficiency is unrelated to antilipemic therapy, which affects lipid and liver metabolism. Dietary deficiencies cause scurvy, not statins. This is incorrect, as liver dysfunction, not vitamin deficiency, is the primary concern requiring monitoring during antilipemic treatment.

Choice D reason: Pulmonary problems are not a primary side effect of antilipemic therapy, which mainly risks liver and muscle toxicity. Respiratory issues may relate to other conditions, not statins, making this incorrect, as liver dysfunction is the key problem to monitor in these patients.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Poikilothermia, or coolness of the limb, is one of the “6 P’s” of arterial disease, indicating reduced blood flow causing temperature drop. This is a correct choice, as it reflects ischemia in acute arterial occlusion, critical for students to recognize in assessing limb compromise.

Choice B reason: Pooling is not one of the “6 P’s” of arterial disease, which include pain, pallor, pulselessness, paresthesia, paralysis, and poikilothermia. Pooling relates to venous stasis, not arterial insufficiency, making this incorrect for inclusion in teaching about arterial disease signs.

Choice C reason: Pallor is a key “6 P’s” sign of arterial disease, indicating reduced blood flow causing skin paleness due to ischemia. This is a correct choice, as it is a critical clinical finding students must recognize in assessing acute arterial occlusion and limb ischemia.

Choice D reason: Paralysis is included in the “6 P’s” of arterial disease, signaling severe ischemia impairing muscle function. This is a correct choice, as it indicates advanced limb compromise, requiring urgent intervention, and is essential for students to understand in arterial disease assessment.

Choice E reason: Petechiae, small hemorrhagic spots, are not part of the “6 P’s” of arterial disease, which focus on ischemic signs like pallor and paralysis. Petechiae relate to bleeding disorders, making this incorrect for teaching, as it does not reflect arterial occlusion pathology.

A. Increase dietary potassium intake B. Engage in high-intensity exercise daily C. Consume a high-sodium diet D. Limit fluid intake to 500 mL per day

Correct Answer is A

Explanation

Choice A reason: Increasing dietary potassium intake enhances diuretic effectiveness, especially with potassium-losing diuretics, by maintaining electrolyte balance and supporting blood pressure reduction. Foods like bananas help, making this the correct recommendation to improve hypertension management in a 69-year-old patient.

Choice B reason: High-intensity exercise is not advised for a 69-year-old on diuretics, as it risks dehydration or orthostatic hypotension. Moderate exercise is safer, making this incorrect, as the nurse should recommend appropriate activity levels to support, not strain, cardiovascular health.

Choice C reason: A high-sodium diet counteracts diuretics by promoting fluid retention, raising blood pressure. A low-sodium diet enhances diuretic efficacy, making this incorrect, as the nurse should recommend sodium restriction to improve hypertension control and medication effectiveness.

Choice D reason: Limiting fluid intake to 500 mL daily risks dehydration in a patient on diuretics, worsening hypotension or renal function. Adequate hydration is needed, making this incorrect, as the nurse should encourage balanced fluid intake to support safe diuretic therapy.

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While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse educator is discussing arterial disease with a group of clinical students. Which of the following are included in the “6 P’s”? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A 69-year-old patient is taking a diuretic for hypertension. Which of the following lifestyle changes should the nurse recommend to enhance the effectiveness of the medication?

Correct Answer is A

Explanation

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