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 A

Explanation

Intermittent claudication is a condition in which leg pain is produced upon increased activity and ischemia to tissues, but then the pain is reduced with rest. This is because the blood flow to the leg muscles is insufficient to meet the increased demand during exercise, but adequate at rest.Intermittent claudication is a common symptom of peripheral artery disease (PAD), which is a narrowing of the arteries that supply blood to the legs.

Choice B, sporadic ischemia, is wrong because it is not a specific medical term for a condition that causes leg pain.

Ischemia means reduced blood flow to a part of the body, which can cause pain, but it can be caused by various factors and affect different organs.

Choice C, angina, is wrong because it is a term for chest pain caused by reduced blood flow to the heart, not the legs.

Angina can also be triggered by physical activity and relieved by rest, but it is not related to PAD or leg ischemia.

Choice D, restless leg syndrome, is wrong because it is a condition that causes an uncomfortable urge to move the legs, usually at night or when lying down.

Restless leg syndrome does not cause pain or ischemia in the legs, and it is not improved by rest.It is thought to be related to a problem with the nervous system or iron deficiency.

A. They are a part of the initial diuretic therapy. B. They decrease the risk of hypokalemia while still excreting sodium. C. Little follow up is needed after the initial treatment. D. They increase the risk of hypokalemia.

Correct Answer is B

Explanation

Diuretics are drugs that increase the amount of urine and salt (sodium) excreted by the kidneys. They are used to treat high blood pressure, heart failure, and edema (fluid retention). However, some diuretics can cause low levels of potassium in the blood (hypokalemia), which can lead to muscle weakness, cramps, and arrhythmias. To prevent this, a combination of diuretics acting on different parts of the kidney (such as a loop diuretic and a thiazide diuretic) may be prescribed.This way, the potassium-sparing effect of one diuretic can balance the potassium-wasting effect of the other, while still achieving a net sodium loss.

Choice A is wrong because they are not a part of the initial diuretic therapy.Combination diuretic therapy is usually reserved for patients who are resistant to or intolerant of monotherapy.

Choice C is wrong because little follow up is not needed after the initial treatment.Patients on combination diuretic therapy require close monitoring of their blood pressure, electrolytes, renal function, and weight to avoid adverse effects such as dehydration, hyponatremia, hypotension, and worsening renal function.

Choice D is wrong because they do not increase the risk of hypokalemia.As explained above, combination diuretic therapy aims to reduce the risk of hypokalemia by using a potassium-sparing diuretic along with a potassium-wasting diuretic.

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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

In which condition is leg pain produced upon increased activity and ischemia to tissues, but then the pain is reduced with rest?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

Which range of systolic blood pressure is classified as stage 1 hypertension?

Which of the following Alpha adrenergic class has a vasodilating effect and can be used for the management of hypertension?

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?

Which of the following anti-lipidemic drugs are the most potent antilipidemic agents and have proven to lower the risk of Myocardial Infarction?

A patient with a history of heart failure is prescribed furosemide (Lasix). Several days after the aggressive diuretic therapy started, the patient began to exhibit confusion, tremors, muscle cramps, and nausea. What does the nurse suspect?

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

Patients taking which cholesterol-lowering agent may require supplements of fat-soluble vitamins A, D, E, and K?

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks. Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

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