To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Remind the client to keep his appointments to have his cholesterol level checked.

Teach the client to weigh himself weekly and keep a log of the measurements.

Encourage the client to keep a diary of his food intake until his next visit to the clinic.

Assess the elasticity of the client's skin at the next scheduled clinic appointment.

Answer and Explanation

The Correct Answer is A

A. Remind the client to keep his appointments to have his cholesterol level checked: Ezetimibe works by reducing cholesterol absorption in the intestines. Its effectiveness is best evaluated through changes in cholesterol levels, making lab tests crucial for monitoring its impact.

B. Teach the client to weigh himself weekly and keep a log of the measurements: While monitoring weight can be important for other conditions, it is not the primary evaluation for the effectiveness of ezetimibe, which targets cholesterol levels rather than body weight.

C. Encourage the client to keep a diary of his food intake until his next visit to the clinic: Although a food diary can be helpful for managing diet, the effectiveness of ezetimibe is best assessed through cholesterol levels rather than dietary tracking alone.

D. Assess the elasticity of the client's skin at the next scheduled clinic appointment: Skin elasticity is not directly related to the effectiveness of ezetimibe. This medication’s primary impact is on cholesterol levels, which should be monitored through lab tests.

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Correct Answer is A

Explanation

A. Chest tube insertion tray: Thoracentesis may lead to complications like pneumothorax, especially in clients with lung disease such as emphysema. If air or fluid reaccumulates or lung collapse occurs, a chest tube may be urgently required to re-expand the lung and drain air or fluid buildup.

B. Intubation tray: While intubation may be needed in cases of severe respiratory failure, it is not the first-line equipment after an ineffective thoracentesis. It would only be used if the patient is unable to breathe adequately despite other interventions.

C. Ventilator: Mechanical ventilation is not immediately needed for a failed thoracentesis unless the client develops respiratory failure. It is a secondary measure if oxygenation cannot be maintained with basic support.

D. Crash cart: A crash cart is essential during cardiac arrest or life-threatening emergencies. It is not the most appropriate equipment to have specifically for an ineffective thoracentesis unless severe complications arise suddenly.

A. Serum amylase levels. B. Complete blood count. C. Arterial blood gases. D. Liver function tests.

Correct Answer is B

Explanation

A. Serum amylase levels: Serum amylase is helpful in detecting pancreatitis but is not the most immediate concern with symptoms of fatigue, anorexia, and tachypnea. A CBC is more relevant to evaluate possible anemia or infection.

B. Complete blood count: A CBC is crucial to assess for anemia, infection, or other hematologic issues, which could be causing the client's malaise, fatigue, and tachypnea. This is the most important test to guide further treatment.

C. Arterial blood gases: While useful for assessing respiratory function, ABG testing is not the first priority here. The client's symptoms suggest a more likely hematologic issue that would be better assessed with a CBC.

D. Liver function tests: Liver function tests are important but not the most urgent in this case. The CBC provides a broader view of the client's condition and helps identify the underlying cause of the symptoms.

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To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting the healthcare provider with a thoracentesis for a client who has emphysema. Which equipment should the nurse have at the bedside in the event the procedure is ineffective?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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