The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?
Orange juice
Coenzyme Q10 (CoQ10) supplements
Grapefruit juice
All fruit juices
The Correct Answer is C
A. Orange juice does not interact with simvastatin and does not need to be avoided.
B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.
C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.
D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. ACE inhibitors primarily lower blood pressure and are not commonly used to treat coronary artery spasms.
B. Calcium channel blockers are commonly used to treat both stable angina and coronary artery spasms because they relax blood vessels, improving blood flow to the heart.
C. Beta blockers primarily reduce heart rate and blood pressure and are not typically used to treat coronary artery spasms.
D. Thrombolytics are used to dissolve blood clots and are not indicated for coronary artery spasms.
Correct Answer is B
Explanation
A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.
B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.
C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.
D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.
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