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What is the most common adverse effect of nitroglycerin for which the patient is monitored?

Hypertension

Diuresis

Bradycardia

Headache

Answer and Explanation

The Correct Answer is D

A. Nitroglycerin typically causes vasodilation and can lower blood pressure, rather than causing hypertension.

B. Diuresis, or increased urine production, is not a common adverse effect of nitroglycerin.

C. Nitroglycerin may cause a slight decrease in heart rate (bradycardia), but headache is a more common adverse effect.

D. Headache is the most common adverse effect of nitroglycerin, especially when first starting the medication or with dosage adjustments, due to vasodilation of blood vessels, including those in the head.

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Correct Answer is D

Explanation

A. Fibric acids are a different class of lipid-lowering agents.

B. Bile acid resins are another class of drugs used to lower cholesterol but work differently.

C. Omega-3 fatty acids are used to lower triglycerides and improve heart health but are not HMG-CoA reductase inhibitors.

D. Statins are drugs that inhibit the enzyme HMG-CoA reductase, which is crucial in the synthesis of cholesterol, thereby lowering cholesterol levels.

A. Orange juice B. Coenzyme Q10 (CoQ10) supplements C. Grapefruit juice D. All fruit juices

Correct Answer is C

Explanation

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.

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What is the most common adverse effect of nitroglycerin for which the patient is monitored?

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Naxlex Comprehensive Predictor Exams

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered. What is another name for the type of drug?

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

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