A nurse is caring for a client who is to start therapy with lovastatin.
The nurse should prepare the client for which of the following diagnostic assessments?

Western blot analysis.

Pancreatic enzymes.

Exercise electrocardiography.

Liver function tests.

Answer and Explanation

The Correct Answer is D

Lovastatin is a lipid-lowering medication that belongs to the statin drug class.

It is used to treat and prevent coronary heart disease and hypercholesterolemia.

Before starting therapy with lovastatin, liver function tests should be performed to establish a baseline and monitor for any potential adverse effects on the liver.

Choice A is wrong because Western blot analysis, is not the correct answer because it is a laboratory technique used to detect specific proteins in a sample, not to monitor liver function.

Choice B is wrong because Pancreatic enzymes, is not the correct answer because it refers to enzymes produced by the pancreas that aid in digestion, not liver function.

Choice C is wrong because Exercise electrocardiography, is not the correct answer because it is a diagnostic test used to assess the heart’s response to physical stress, not liver function.

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Correct Answer is A

Explanation

The nurse should monitor the client for hearing loss because it is a potential adverse effect of erythromycin.

Choice B is wrong because a high-fiber diet to prevent constipation is not mentioned as a necessary action when administering erythromycin lactobionate IV bolus.

Choice C is wrong because erythromycin lactobionate IV bolus should not be administered over 10 min; bolus injection (IV push) is contraindicated.

Choice D is wrong because erythromycin lactobionate should not be reconstituted with a 5% dextrose solution; it should be reconstituted with sterile water for injection.

A. Document the administration of the medication. B. Identify the client using two identifiers. C. Compare the amount of medication available to the inventory record. D. Remove the medication from the medication dispensing cabinet. E. Remove the medication from the medication dispensing cabinet.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale:

Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.

Choice B rationale:

Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.

Choice C rationale:

Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.

Choice D rationale:

Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.

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A nurse is caring for a client who is to start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments?

Nursing Test Bank

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A nurse is caring for a client who is to start therapy with lovastatin.
The nurse should prepare the client for which of the following diagnostic assessments?