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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because potassium sparing diuretics do not lower potassium levels in the blood, unlike some other types of diuretics. Potassium is an important electrolyte that helps regulate nerve and muscle functions, especially the heart. Low potassium levels can cause irregular heartbeats and other problems.Therefore, people who take diuretics should avoid foods that are high in potassium, such as bananas, oranges, tomatoes, and potatoes, unless they are taking potassium sparing diuretics.
Choice A is wrong because thiazide diuretics, such as hydrochlorothiazide, can cause low potassium levels in the blood and increase the risk of arrhythmias.
People who take thiazide diuretics may need to take potassium supplements or eat more potassium-rich foods.
Choice B is wrong because osmotic diuretics, such as mannitol, do not affect potassium levels in the blood.
They work by increasing the amount of water in the urine, but do not alter the electrolyte balance.
Osmotic diuretics are mainly used to treat brain swelling or glaucoma.
Choice D is wrong because loop diuretics, such as lasix, can also cause low potassium levels in the blood and increase the risk of arrhythmias.
People who take loop diuretics may also need to take potassium supplements or eat more potassium-rich foods.
Normal ranges for potassium in the blood are 3.5 to 5.0 millimoles per liter (mmol/L).
Correct Answer is C
Explanation
Exposure to cold temperatures should be avoided by the patient with peripheral vascular disease such as Raynaud’s disease.
This is because cold temperatures can trigger vasospasm, which is a sudden narrowing of the small arteries in the fingers or toes, limiting blood flow and causing pain, numbness and color changes.
Choice A is wrong because wearing warm mitten gloves can help prevent or reduce the severity of Raynaud’s attacks by keeping the hands warm.
Choice B is wrong because wearing socks can also help protect the feet from cold exposure and prevent or reduce Raynaud’s attacks.
Choice D is wrong because engaging in regular exercise can improve blood circulation and reduce the frequency and duration of Raynaud’s attacks.However, exercise should be done with caution and proper clothing to avoid injury or frostbite to the affected areas.
Normal ranges for peripheral vascular disease are not applicable, as it is a condition that affects the blood vessels and not a specific blood test or measurement.
However, some tests that can help diagnose peripheral vascular disease or its underlying causes are blood pressure measurement, ankle-brachial index, Doppler ultrasound, angiography, blood tests for cholesterol, glucose, clotting factors and inflammatory markers.
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