Mr. Edward Long is a 50-year-old office worker who has gained 50 pounds over the past 5 years. His blood pressure has consistently been high, but he has declined to take medication for the condition. His cholesterol level has been above 210 mg/dL on his last three office visits. He claims to have no chronic diseases and is at the office seeking assistance concerning his weight gain. While there, the healthcare provider speaks to him about his cholesterol level and hypertension.
The health provider ordered atorvastatin (Lipitor) for his high lipids, and hydrochlorothiazide for his hypertension. Mr. Long agrees with this treatment plan. He is returning now for a 1 month follow-up.Which of the following assessment findings is a priority for the nurse to follow- up?
Blood pressure 130/80
States knee pain is currently a 5/10 (on a 0 to 10 pain intensity scale)
Hypoactive bowel sounds X4
Complains of muscle weakness
The Correct Answer is D
Explanation:
A. A blood pressure of 130/80 is within the target range (below 140/90 for most individuals) and does not require immediate follow-up.
B. Knee pain, while important, is not an immediate priority compared to potential medication side effects or complications.
C. Hypoactive bowel sounds, while needing monitoring, are not typically a priority over potential adverse effects of medication.
D. Complaints of muscle weakness could indicate a potential side effect of atorvastatin (Lipitor), which should be promptly addressed to prevent complications such as rhabdomyolysis. Therefore, it is the priority assessment finding for the nurse to follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Noxium" is not a known medication for mood stabilization in bipolar disorder.
B. Valium and Librium are benzodiazepines commonly used for anxiety and are not typically used for mood stabilization in bipolar disorder.
D. Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder to prevent or reduce the severity of manic and depressive episodes.
Correct Answer is B
Explanation
A. Cholesterol is carried in the bloodstream by lipoproteins, including HDL (high- density lipoprotein), but it is not secreted as HDL.
B. Cholesterol is primarily eliminated from the body through the liver, where it is secreted into bile and eventually excreted in feces.
C. Cholesterol is not typically eliminated through the kidneys but rather through the liver and bile.
D. Cholesterol is not secreted in sweat as a primary method of elimination.
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