A nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should the nurse ask first?

"Do you exercise regularly?"

"Do you consume alcohol daily?"

"Do you regularly have your eyes examined?"

"Do you check your blood pressure daily?"

Answer and Explanation

The Correct Answer is B

When a client is newly prescribed atorvastatin for dyslipidemia, it is important to assess their alcohol consumption. Atorvastatin is metabolized by the liver, and excessive alcohol consumption can interfere with the liver's ability to process medications properly. Alcohol use can also have adverse effects on lipid profiles and contribute to liver disease. Therefore, determining the client's alcohol consumption is crucial in assessing the appropriateness of atorvastatin therapy and potential risks.

"Do you exercise regularly?": While exercise is an important aspect of cardiovascular health and can contribute to the management of dyslipidemia, it is not the first question to ask in this specific situation. Assessing alcohol consumption is more critical as it directly affects the metabolism and potential interactions with atorvastatin.

"Do you regularly have your eyes examined?": Regular eye examinations are important for individuals with certain health conditions, such as diabetes, to monitor for complications like diabetic retinopathy. However, for a client who is newly prescribed atorvastatin for dyslipidemia, assessing alcohol consumption takes priority as it has a direct impact on the medication's effectiveness and potential side effects.

"Do you check your blood pressure daily?": Monitoring blood pressure is essential for individuals with hypertension or cardiovascular disease. However, in this case, the priority is assessing alcohol consumption due to its potential interactions with atorvastatin.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A) Drinking iced tea with meals can increase the amount of iron absorbed.

This statement is not correct. Drinking iced tea, especially black tea, can inhibit the absorption of iron. It contains compounds that interfere with the body's ability to absorb non-heme iron, which is found in plant-based foods and supplements. Therefore, this information is not accurate and should not be included in the teaching.

B) Drinking orange juice with iron supplements can decrease absorption.

This statement is not correct either. In fact, drinking orange juice with iron supplements can enhance iron absorption. This is because orange juice is a good source of vitamin C, which helps the body absorb non-heme iron more effectively. So, this information is inaccurate and should not be included in the teaching.

C) Fish and poultry are primary sources of heme iron.

This statement is correct. Heme iron is found in animal-based sources like fish and poultry, and it is more readily absorbed by the body compared to non-heme iron from plant-based sources.

D) Cooking in a stainless steel skillet increases the amount of iron in the food.

This statement is not accurate. Cooking in a stainless steel skillet does not significantly increase the iron content in food. The type of iron in the skillet is not the same as the dietary iron, and it doesn't transfer in significant amounts to the food being cooked. Therefore, this information is not correct and should not be included in the teaching.

So, the nurse should include the information from option C, which is accurate: "Fish and poultry are primary sources of heme iron." Options A, B, and D contain inaccurate information and should be avoided in the teaching to ensure the client receives correct guidance for managing iron deficiency anemia.

A. Fasting blood glucose 70 mg/dL B. 2-hr glucose tolerance test level 150 mg/dL C. Glycosylated hemoglobin 5% D. Casual blood glucose 90 mg/dL

Correct Answer is B

Explanation

2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.

Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.

Therefore, this finding does not indicate a concern for diabetes.

Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.

Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.

Therefore, this finding does not indicate a concern for diabetes.

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A nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should the nurse ask first?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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