The nurse is taking a health history on a 38-year-old man who is taking atorvastatin (Lipitor) for high cholesterol.
What will the nurse query specifically related to the safety of this drug?
Nicotine.
Caffeine.
Herbal therapy.
Alcohol.
The Correct Answer is D
Choice A rationale
While nicotine use is a health concern, it does not directly relate to the safety of atorvastatin (Lipitor). However, smoking cessation is advisable for overall cardiovascular health.
Choice B rationale
Caffeine intake is not a primary concern related to the safety of atorvastatin. Monitoring other lifestyle factors like diet and exercise is more relevant.
Choice C rationale
Herbal therapy may interact with atorvastatin, but the primary safety concern is alcohol intake, which can increase the risk of liver damage when combined with atorvastatin.
Choice D rationale
Alcohol consumption is a significant concern when taking atorvastatin, as it can increase the risk of liver damage. Patients are advised to limit alcohol intake to prevent adverse effects. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice B rationale
Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice C rationale
Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.
Choice D rationale
Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .
Correct Answer is A
Explanation
Choice A rationale
This choice is correct. The side effects of paroxetine, including headaches, nervousness, and poor appetite, are common during the initial weeks of treatment and often decrease over time as the patient’s body adjusts to the medication. Reassuring the patient helps them continue the treatment without undue anxiety about these side effects, which are typically transient and manageable.
Choice B rationale
This choice is incorrect. Abruptly stopping paroxetine without consulting a healthcare provider is not recommended because it can lead to withdrawal symptoms and a possible relapse of depression or anxiety. The patient should only discontinue the medication under the guidance of a healthcare provider, who may suggest a gradual tapering off process to minimize withdrawal symptoms.
Choice C rationale
This choice is partially correct. Taking paroxetine with food can help mitigate some gastrointestinal side effects, such as nausea. However, it does not directly address headaches, nervousness, or poor appetite. Although taking the medication with food is a useful tip, it is not the most comprehensive advice for this particular situation.
Choice D rationale
This choice is incorrect. While adjusting the dose may be an option, it is premature to suggest this after only two weeks of treatment. The patient’s body may still be adjusting to the medication, and many side effects diminish with time. The decision to change the dosage should be made by the healthcare provider based on a thorough evaluation of the patient’s response to the treatment.
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