The nurse evaluates a client's response to the prescribed atorvastatin. Which finding indicates an expected outcome?

Total cholesterol 198 mg/dL

Low density lipoprotein (LDL) 90 mg/dL

Serum albumin 6 g/L

Alanine aminotransferase (ALT) 25 units/L

Answer and Explanation

The Correct Answer is B

A) Total cholesterol 198 mg/dL: While this value is within normal limits, it does not specifically indicate the effectiveness of atorvastatin treatment, which primarily aims to lower LDL levels. An optimal outcome would focus more on the LDL reduction rather than total cholesterol alone.

B) Low density lipoprotein (LDL) 90 mg/dL: This finding indicates an expected outcome of atorvastatin therapy. Atorvastatin is effective at lowering LDL cholesterol, which is a key target in managing hyperlipidemia and reducing the risk of cardiovascular events. An LDL level below 100 mg/dL is generally considered optimal.

C) Serum albumin 6 g/L: This value is low and indicates potential malnutrition or liver dysfunction, which are not expected outcomes for a client on atorvastatin. A normal serum albumin level typically ranges from 3.5 to 5.0 g/dL, so this finding is concerning.

D) Alanine aminotransferase (ALT) 25 units/L: While this ALT level is within the normal range, it does not directly reflect the primary goal of atorvastatin therapy, which is to lower LDL cholesterol. Monitoring liver enzymes is important, but the expected outcome would be more clearly indicated by improved lipid profiles, particularly LDL levels.

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Correct Answer is D

Explanation

A. Administer the medications at different times to provide an even blood level: This option is inappropriate given the client's current heart rate. Both atenolol and diltiazem are cardiovascular medications that can further lower heart rate and potentially lead to bradycardia or other complications.

B. Assess the client's blood pressure and if the BP is normal, administer the medications: While it's important to assess blood pressure, both medications can further decrease heart rate. Given the current bradycardia (heart rate of 45 beats/min), administering either medication could exacerbate the issue.

C. Document the pulse rate and administer the medications as prescribed: This option is not appropriate. The pulse rate of 45 beats/minute is significantly below the normal range, and administering medications that can lower heart rate further could pose serious risks.

D. Withhold the medications and reassess the heart rate in 30 minutes: This is the best nursing action. Withholding the medications allows for further evaluation of the client's heart rate, and it ensures that the nurse can prevent potential adverse effects related to the bradycardia.

A. Encourage oral fluids. B. Record the client's weight C. Take a pulse oximetry reading D. Place the call bell in reach of the client

Correct Answer is D

Explanation

A. Encourage oral fluids: While hydration is important, it is not the most immediate concern following the administration of prazosin.

B. Record the client's weight: Weight monitoring is not specifically indicated after the initial dose of prazosin and is not a priority action in this context.

C. Take a pulse oximetry reading: While monitoring oxygen saturation is important in many situations, it is not directly related to the administration of prazosin, which primarily affects blood pressure.

D. Place the call bell in reach of the client: This is the most appropriate action. Prazosin can cause orthostatic hypotension, particularly after the first dose, leading to dizziness or fainting. Ensuring that the call bell is within reach allows the client to request help if they feel lightheaded or need assistance.

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The nurse evaluates a client's response to the prescribed atorvastatin. Which finding indicates an expected outcome?

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Naxlex Comprehensive Predictor Exams

A client is scheduled to receive atenolol 25 mg PO and diltiazem 60 mg PO at 0800. The nurse assesses the client's heart rate as 45 beats/minute and irregular. What is the best nursing action at this time?

Correct Answer is D

Explanation

The nurse administers the first dose of prazosin 1 mg PO to a client. Which nursing action is most appropriate following the administration of this medication?

Correct Answer is D

Explanation

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