Anu is reinforcing teaching with a client who is starting simvastatin.
Which of the following information should the nurse include?

Change position slowly when rising from a chair.

Maintain a steady intake of green leafy vegetables.

Consume no more than 1 L/day of fluid.

Take this medication in the evening.

Answer and Explanation

The Correct Answer is D

Simvastatin is a type of drug called a statin, which lowers cholesterol and triglycerides in the blood. Statins work by reducing the amount of cholesterol made by the liver, and the liver produces more cholesterol at night. Therefore, taking simvastatin in the evening can increase its effectiveness.

Choice A is wrong because changing position slowly when rising from a chair is not related to simvastatin use.

This advice is usually given to people who have low blood pressure or take medications that lower blood pressure, such as diuretics or beta blockers.

Choice B is wrong because maintaining a steady intake of green leafy vegetables is not specific to simvastatin use.

This advice is usually given to people who take anticoagulants, such as warfarin, because green leafy vegetables contain vitamin K, which can affect the blood clotting process.

Choice C is wrong because consuming no more than 1 L/day of fluid is not related to simvastatin use.

This advice is usually given to people who have fluid retention or heart failure, because excess fluid can put strain on the heart and lungs.

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Correct Answer is C

Explanation

Antidigoxin is an antidote for digoxin toxicity that binds and inactivates digoxin, a cardiac glycoside that can cause life-threatening arrhythmias, hyperkalemia, and other symptoms when overdosed.Antidigoxin is also known as digoxin immune Fab or DIGIFab.

Choice A, protamine sulfate, is wrong because it is an antidote for heparin, an anticoagulant that can cause bleeding when overdosed.

Choice B, acetylcysteine, is wrong because it is an antidote for acetaminophen, a painkiller that can cause liver damage when overdosed.

Choice D, activated charcoal, is wrong because it is a nonspecific adsorbent that can reduce the absorption of some drugs or poisons from the gastrointestinal tract, but it is not effective for digoxin toxicity.

A. Potassium 3.0 mEq/L. B. Calcium 9.2 mg/dL. C. Potassium 4.8 mEq/L. D. Calcium 10.3 mg/dL.

Correct Answer is A

Explanation

This is because digoxin inhibits the Na-K-ATPase pump on the membrane of cardiac cells, which can cause extracellular potassium levels to rise.Hypokalemia (low potassium) caused by large dosages of diuretics may result in digoxin toxicity even at low serum digoxin levels.Digoxin toxicity can cause gastrointestinal, constitutional, and/or cardiovascular symptoms, as well as ECG changes such as signs of increased automaticity and atrioventricular node blockade.

Choice B is wrong because calcium 9.2 mg/dL is within the normal range of 8.5 to 10.5 mg/dL.Hypercalcemia (high calcium) can increase sensitivity to digoxin effects and lead to toxicity even with a lower concentration of serum digoxin, but this is not the case here.

Choice C is wrong because potassium 4.8 mEq/L is within the normal range of 3.5 to 5.0 mEq/L.

Hyperkalemia (high potassium) can also increase the risk of digoxin toxicity, but this is not the case here.

Choice D is wrong because calcium 10.3 mg/dL is within the normal range of 8.5 to 10.5 mg/dL.Hypercalcemia (high calcium) can increase sensitivity to digoxin effects and lead to toxicity even with a lower concentration of serum digoxin, but this is not the case here.

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Anu is reinforcing teaching with a client who is starting simvastatin. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The antagonistic agent to digoxin toxicity is what?

Correct Answer is C

Explanation

A nurse in a provider’s office is monitoring blood electrolytes for four clients who take digoxin. Which of the following electrolyte values increases a client’s risk for digoxin toxicity?

Correct Answer is A

Explanation

A nurse understands that a common reason why a patient is prescribed a combination of diuretics is because?

Which of the following diuretic agents will the nurse teach the patient to avoid food sources that are high in potassium?

Which administration strategy can a patient implement to reduce flushing, the most common adverse effect of niacin therapy?

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The main class of drug for the treatment and management of Angina attack is what?

Which of the following anti-hypertensive medication belongs to the ACE Inhibitors?

Which laboratory test measures the effectiveness of warfarin?

Anu is reinforcing teaching with a client who is starting simvastatin.
Which of the following information should the nurse include?