A nurse in an outpatient clinic is caring for a client.
Complete the following sentence by using the lists of options.
The nurse should assess the client's dropdown followed by the client'sdropdown.
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
- Renal impairment: Simvastatin can lead to rhabdomyolysis, which releases myoglobin into the bloodstream and can cause acute kidney injury. Assessing for renal impairment allows early detection of potential kidney damage and prevents complications.
- Rhabdomyolysis: The elevated creatinine kinase (CK) level and new-onset leg pain and weakness indicate possible muscle breakdown. Early assessment for rhabdomyolysis is critical to initiate treatment, prevent further muscle damage, and reduce the risk of renal failure.
- Abdominal pain: While the client reports mild abdominal discomfort, this symptom is less urgent compared to potential renal impairment or rhabdomyolysis, which are life-threatening complications of statin therapy.
- Impaired nutrition: Indigestion and bloating may affect appetite but are not immediately dangerous. They are secondary to the more serious concern of muscle breakdown and kidney injury.
- Constipation: Constipation is a mild gastrointestinal issue and does not indicate acute or severe complications related to simvastatin therapy.
- Dyspepsia: Dyspepsia is a common side effect of simvastatin but is not life-threatening. It should be addressed after evaluating for more urgent complications like rhabdomyolysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Return the medications to the pharmacy: Expired medications should be returned to the pharmacy or designated medication disposal area to ensure proper handling and prevent accidental administration. Pharmacies follow regulatory guidelines for safe disposal or destruction.
B. Place the medications back in the medication cart: Returning expired medications to the medication cart is unsafe because it risks administration to clients and violates medication safety protocols.
C. Notify the provider about the expired medications: Providers do not need to be notified about expired medications unless it affects a specific prescription; the responsibility for proper disposal lies with the nurse and pharmacy.
D. Flush the medications down the toilet: Flushing medications is generally discouraged due to environmental contamination risks unless specifically recommended for certain drugs. Safe disposal should follow pharmacy or institutional protocols.
Correct Answer is A
Explanation
A. 1+ deep tendon reflexes: Decreased deep tendon reflexes indicate magnesium toxicity, as excessive magnesium depresses neuromuscular activity. This finding suggests the serum magnesium level may be too high and requires immediate reporting to prevent respiratory or cardiac complications.
B. Pupils equal, round, react to light, accommodation: Normal pupillary response does not indicate magnesium toxicity. This finding shows intact neurological function and does not require intervention.
C. Blood pressure 122/88 mm Hg: This blood pressure is within acceptable range for a client receiving magnesium sulfate for preeclampsia. It suggests that the medication is helping control hypertension without causing hypotension.
D. 24 hr urine output 960 mL: This urine output is adequate (greater than 30 mL/hr average) and indicates proper renal function. Since magnesium is excreted through the kidneys, normal urine output helps prevent accumulation and toxicity.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.