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 C
Explanation
A. Ibuprofen is not typically contraindicated with calcium channel blockers.
B. Ranitidine is not typically contraindicated with calcium channel blockers.
C. Digoxin, a cardiac glycoside, can interact with calcium channel blockers, leading to increased levels of digoxin and potential toxicity.
D. Acetaminophen is not typically contraindicated with calcium channel blockers.
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.
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