A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?

Your heart rate may be lower after starting this medication.

Report any dark urine after starting the medication.

Your stool may be black after starting the medication.

Report any dizziness when standing after starting the medication.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Simvastatin is not typically associated with lowering heart rate as a side effect. This statement is incorrect.

B. Rhabdomyolysis, a severe side effect of statin medications like simvastatin, can cause dark urine due to the presence of myoglobin from muscle breakdown. Therefore, it is important for the client to report any dark urine to their healthcare provider.

C. Black stool is not a common side effect of simvastatin. This statement is incorrect.

D. Dizziness when standing is not a common side effect of simvastatin. This statement is incorrect.

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Correct Answer is B

Explanation

Rationale:

A. Avoidance of caffeine is not specifically indicated for peripheral arterial disease. While caffeine can temporarily constrict blood vessels, it is not a primary treatment for this condition.

B. Compression stockings can improve blood flow in peripheral arterial disease by providing external pressure to the legs, helping to reduce swelling and improve circulation.

C. Cold compresses may provide temporary relief for pain associated with peripheral arterial disease, but they are not a primary treatment and do not address the underlying circulation issues.

D. Elevating the legs above the heart can sometimes be helpful for improving circulation, but it is not a practical or sustainable treatment for peripheral arterial disease.

A. Clopidogrel B. Clonidine C. Hydralazine D. Nifedipine E. Gemfibrozil

Correct Answer is ["B","C"]

Explanation

Rationale:

A. Clopidogrel is an antiplatelet medication used to prevent blood clots, and it is not associated with orthostatic hypotension.

B. Clonidine is an antihypertensive medication that can cause orthostatic hypotension, particularly when changing positions from lying to standing.

C. Hydralazine is an antihypertensive medication that can cause orthostatic hypotension, particularly at higher doses.

D. Nifedipine, a calcium channel blocker, is generally associated with a risk of hypotension; however, it is not specifically indicated as a common cause of orthostatic hypotension.

E. Gemfibrozil is a lipid-lowering medication and is not associated with orthostatic hypotension.

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A nurse is providing teaching about the adverse effects of simvastatin to a client who will begin taking the medication daily. Which of the following statements should the nurse include in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of peripheral arterial disease and requires education on treatment. Which of the following statements should the nurse utilize for the teaching?

Correct Answer is B

Explanation

A nurse is planning care for a client who takes several cardiac medications. The nurse should recognize which of the following medications places the client at risk for orthostatic hypotension? (select all that apply)

Correct Answer is ["B","C"]

Explanation

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