The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do. What's the expected outcome the nurse will describe?
Decrease in sitosterol and serum cholesterol.
Decrease in campesterol and LDL levels.
Decrease in serum cholesterol and low-density lipoprotein (LDL) levels.
Decrease in serum cholesterol only.
The Correct Answer is C
Choice A rationale
Atorvastatin (Lipitor) does not decrease sitosterol. It mainly targets serum cholesterol and LDL levels to reduce cardiovascular risks.
Choice B rationale
Atorvastatin does not decrease campesterol. Its primary effect is on serum cholesterol and LDL levels, aiming to lower the risk of heart disease.
Choice C rationale
Atorvastatin effectively decreases serum cholesterol and LDL levels, which are the primary targets for reducing cardiovascular risks in patients with high cholesterol.
Choice D rationale
Atorvastatin lowers both serum cholesterol and LDL levels, not just serum cholesterol, making it effective in reducing overall cardiovascular risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
True. Xanthine derivatives like theophylline can cause serious adverse effects, including brain damage, when blood levels become too high. It is critical to monitor theophylline levels to prevent toxicity and associated neurological complications.
Choice B rationale
False. If xanthine levels remain within therapeutic ranges, the risk of brain damage is minimized. However, this statement is incorrect as it does not acknowledge the potential severity of the adverse effects linked to elevated theophylline levels.
Correct Answer is B
Explanation
Choice A rationale
A patient 3 days after surgery may still require higher doses of opioids for pain management, but the duration and intensity of postoperative pain typically decrease over time. This patient may not necessarily require a higher-than-expected dose compared to others.
Choice B rationale
Patients with cancer often experience severe and chronic pain due to the disease itself or its treatments. These patients may develop tolerance to opioids over time, necessitating higher-than-expected doses to achieve adequate pain relief.
Choice C rationale
Hypotension is a contraindication for high doses of opioids, as opioids can cause further blood pressure reduction. This patient would require careful dose adjustment to avoid exacerbating hypotension.
Choice D rationale
Patients with a concussion are at risk of altered mental status and respiratory depression from opioids. Therefore, higher doses are generally avoided to prevent worsening of these conditions.
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