The nurse is caring for a new client that got admitted to the unit for fevers.
The client takes propylthiouracil (PTU) at home.
The nurse understands that the client is taking propylthiouracil (PTU) to treat which of the following conditions?

Choice A rationale

Gemfibrozil is a fibrate that reduces triglycerides and increases HDL cholesterol, commonly used to treat hyperlipidemia.

Choice B rationale

Simvastatin is a statin that inhibits HMG-CoA reductase, reducing LDL cholesterol levels and is used in managing hyperlipidemia.

Choice C rationale

Enalapril is an ACE inhibitor used to manage hypertension and heart failure, not typically used for hyperlipidemia.

Choice D rationale

Warfarin is an anticoagulant used to prevent blood clots and is not used for treating hyperlipidemia.

Choice E rationale

Fenofibrate is another fibrate like gemfibrozil, used to reduce triglycerides and increase HDL cholesterol, making it an anti-lipemic medication.

Choice A rationale

Determining the dosage is a critical responsibility of the nurse to ensure the patient receives the correct amount of medication, which is essential for therapeutic effectiveness and patient safety. This practice aligns with legal guidelines to avoid underdosing or overdosing, which could lead to adverse outcomes.

Choice B rationale

Teaching the client about the medication is part of the nurse's duty to promote patient understanding, compliance, and informed consent. Educating clients about their medications, including potential side effects and proper administration, helps in preventing medication errors and promoting safe, effective treatment.

Choice C rationale

Monitoring for adverse effects is crucial to ensure patient safety and the efficacy of the medication. Nurses must observe and report any negative reactions to the medication to adjust treatment promptly, which is part of their legal and ethical responsibilities.

Choice D rationale

Determining the client's insurance status is generally not considered part of a nurse's duties related to medication administration under legal practice guidelines. This task is more aligned with administrative or billing departments rather than clinical nursing responsibilities.