For a client with a new prescription for the cholesterol medication gemfibrozil, the nurse instructs the client to immediately report what symptoms?

Dry cough and nose bleed

Constipation and dry skin

Abdominal pain and jaundice

Hirsutism and flatulence

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect. Dry cough and nose bleed are not common side effects of gemfibrozil. They may indicate other conditions, such as allergies, infections, or bleeding disorders.

Choice B reason: This is incorrect. Constipation and dry skin are not common side effects of gemfibrozil. They may be caused by dehydration, dietary factors, or other medications.

Choice C reason: This is correct. Abdominal pain and jaundice are serious side effects of gemfibrozil. They may indicate liver damage, which can be fatal if not treated promptly. The client should report these symptoms to the prescriber immediately.

Choice D reason: This is incorrect. Hirsutism and flatulence are not common side effects of gemfibrozil. They may be associated with hormonal imbalances, digestive disorders, or other causes.

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Correct Answer is ["8 mL"]

Explanation

To calculate the amount of phenytoin oral suspension to administer, we can use the following formula:

Amount to administer (mL) = (Desired dose (mg) / Available dose (mg/mL))

Plugging in the given values:

Amount to administer (mL) = (200 mg / 125 mg/5 mL)

Now, let's solve for the amount to administer:

Amount to administer (mL) = (200 mg / 125 mg/5 mL) = (200 / 125) 5 = 8

So, the nurse should administer 8 mL of phenytoin oral suspension via the gastrostomy tube.

A. High lipid levels B. Blood glucose of 60 C. Platelets over 150,000 D. Low INR

Correct Answer is A

Explanation

Choice A reason: This is correct because high lipid levels, such as cholesterol and triglycerides, are a risk factor for cardiovascular disease. HMG-CoA reductase inhibitors, also known as statins, lower the production of cholesterol in the liver and reduce the risk of heart attack and stroke.

Choice B reason: This is incorrect because blood glucose of 60 is not related to the need for an HMG-CoA reductase inhibitor. Blood glucose of 60 is below the normal range and may indicate hypoglycemia, which is a low blood sugar level. Hypoglycemia can cause symptoms such as dizziness, confusion, sweating, and hunger.

Choice C reason: This is incorrect because platelets over 150,000 are not related to the need for an HMG-CoA reductase inhibitor. Platelets are blood cells that help with clotting and prevent bleeding. The normal range of platelets is 150,000 to 450,000 per microliter of blood. Platelets over 150,000 are within the normal range and do not indicate a problem.

Choice D reason: This is incorrect because low INR is not related to the need for an HMG-CoA reductase inhibitor. INR stands for international normalized ratio and is a measure of how long it takes the blood to clot. The normal range of INR is 0.8 to 1.2. Low INR means the blood clots faster than normal and may indicate a risk of thrombosis, which is a blood clot in a vein or artery.

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For a client with a new prescription for the cholesterol medication gemfibrozil, the nurse instructs the client to immediately report what symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer phenytoin 200 mg via a gastrostomy tube. Available is phenytoin oral suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["8 mL"]

Explanation

What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?

Correct Answer is A

Explanation

A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a client who weighs 132 lb. Available is ondansetron 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer amoxicillin 775 mg PO. Available is amoxicillin oral suspension 400 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Order: Metoprolol 3.5 mg IV push On hand: 1 mg/mL vials How many milliliters will the nurse draw up to administer this dose?

A nurse is preparing to administer heparin 7,500 units subcutaneous. Available is heparin 10,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A patient is admitted for acute renal failure and the nurse is monitoring their response to medications. Which pharmacokinetic principle does the nurse understand will most likely be affected in this patient?