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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.
Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection.It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.
Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex.Sexual activity is one of the common causes of UTI, especially in women.
Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one.Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.
Choice D is correct because female patients should wipe from front to back after using the bathroom.This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.
Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract.Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.
Correct Answer is A
Explanation
Atorvastatin is a type ofstatin, which are the most potent antilipidemic agents, and have proven to lower the risk of myocardial infarction by reducing the levels of low-density lipoprotein (LDL) cholesterol and triglycerides in the blood.Statins also slightly increase the level of high-density lipoprotein (HDL) cholesterol, which is beneficial for cardiovascular health.
Choice B, niacin, is a type ofnicotinic acid, which can lower LDL cholesterol and triglycerides, and increase HDL cholesterol, but it is less effective than statins and has more side effects, such as flushing, itching, and liver toxicity.
Choice C, gemfibrozil, is a type offibric acid derivative, which can lower triglycerides and increase HDL cholesterol, but have little effect on LDL cholesterol.They are mainly used for patients with high triglyceride levels or low HDL cholesterol levels.
Choice D, amlodipine, is not an antilipidemic agent at all.It is a type ofcalcium channel blocker, which is used to treat hypertension and angina by relaxing the blood vessels and reducing the workload of the heart.
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