A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
"You may crush the medication and mix it with applesauce."
"You will need liver function tests before beginning therapy."
"Avoid consuming dairy products while taking this medication."
"You should take the medication in the morning."
The Correct Answer is B
A. "You may crush the medication and mix it with applesauce": Lovastatin extended-release tablets should not be crushed or chewed as it may alter the drug's release profile, leading to
potential adverse effects or reduced efficacy. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You will need liver function tests before beginning therapy": Lovastatin is a statin
medication used to lower cholesterol levels. Liver function tests (LFTs) are necessary before starting statin therapy and periodically during treatment to monitor for potential hepatotoxicity.
C. "Avoid consuming dairy products while taking this medication": Lovastatin can be taken with or without food, and there is no specific requirement to avoid dairy products. This statement is not relevant to lovastatin therapy and should not be included in the teaching.
D. "You should take the medication in the morning": Lovastatin can be taken at any time of the day, with or without food. There is no specific requirement to take it in the morning. Therefore, this statement is incorrect and should not be included in the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dobutamine: Dobutamine is a sympathomimetic medication used to increase cardiac output in conditions such as heart failure or cardiogenic shock. It is not indicated for the management of severe hypertension.
B. Epinephrine: Epinephrine is a sympathomimetic medication used for the management of severe allergic reactions (anaphylaxis), cardiac arrest, and severe asthma exacerbations. It is not indicated for the management of severe hypertension.
C. Dexamethasone: Dexamethasone is a corticosteroid medication used for a variety of
conditions, including inflammation, allergic reactions, and certain cancers. It is not indicated for the management of severe hypertension.
D. Nitroprusside: Nitroprusside is a potent vasodilator used for the rapid reduction of blood pressure in hypertensive emergencies, such as hypertensive crises or malignant hypertension. It acts quickly to dilate both arterial and venous vessels, leading to a rapid decrease in blood pressure. Therefore, it is the appropriate choice for this client with severe hypertension and a severe headache.
Correct Answer is D
Explanation
A. Pallor: Pallor refers to paleness of the skin and is not typically associated with an allergic reaction to penicillin G IM.
B. Dyspepsia: Dyspepsia refers to indigestion or discomfort in the upper abdomen and is not typically associated with an allergic reaction to penicillin G IM.
C. Bradycardia: Bradycardia refers to a slow heart rate and is not typically associated with an allergic reaction to penicillin G IM.
D. Urticaria: Urticaria, commonly known as hives, is a characteristic manifestation of an allergic reaction to penicillin G IM. It presents as raised, red, itchy welts on the skin.
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