The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?

It interferes with how cholesterol is made

Its action is not understood.

It binds to cholesterol and inhibits its production.

It makes the body excrete cholesterol quicker.

Answer and Explanation

The Correct Answer is A

A. Atorvastatin (Lipitor) is a statin medication that works by inhibiting the enzyme HMG-CoA reductase, which plays a key role in cholesterol synthesis in the liver, thereby lowering cholesterol levels.

B. Atorvastatin's mechanism of action is well understood; it is not accurate to say its action is not understood.

C. Atorvastatin does not bind to cholesterol; instead, it inhibits its production in the liver.

D. Atorvastatin does not directly cause the body to excrete cholesterol but rather reduces its production in the liver.

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Correct Answer is D

Explanation

A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.

B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.

C. Blood pressure within the normal range does not indicate a need to question administering atenolol.

D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.

A. Discuss how food can increase the symptoms of depression B. Arrange for admittance to the psychiatric unit C. Discuss the effects of wine on the action of antidepressants D. Assess the client's blood pressure

Correct Answer is D

Explanation

Explanation:

A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.

B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.

C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.

D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.

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The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

Correct Answer is D

Explanation

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Correct Answer is D

Explanation

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