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 A

Explanation

Rationale:

A. A transesophageal echocardiogram (TEE) is a specialized echocardiographic procedure that provides detailed images of the heart, including the atria and ventricles. It is particularly useful for detecting ventricular thrombi (blood clots) that may not be visualized as well with transthoracic echocardiography.

B. While an echocardiogram can provide information about heart function, including conduction problems, a TEE is not typically used specifically for this purpose.

C. Exercise tolerance is typically assessed through exercise stress testing or other exercise- related procedures, not with a TEE.

D. Blood flow to the distal extremities is not directly assessed with a TEE. This procedure primarily focuses on evaluating cardiac structure and function.

A. The client has a history of migraine headaches. B. The client has a history of bronchial asthma. C. The client has a history of hypothyroidism. D. The client has a history of hypertension.

Correct Answer is B

Explanation

Rationale:

A. A history of migraine headaches is not a contraindication to atenolol use.

B. Atenolol is a beta-blocker, and its use is contraindicated in clients with bronchial asthma or a history of severe bronchospastic disease due to the risk of exacerbating bronchospasm.

C. A history of hypothyroidism is not a contraindication to atenolol use.

D. A history of hypertension is an indication for atenolol use, not a contraindication.

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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 providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client?

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who has a prescription for atenolol 40 mg daily. The nurse knows which of the following findings is a contraindication to the new medication?

Correct Answer is B

Explanation

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