Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable change in therapy would be to:
1. Discontinue the statin and change to a fibric acid derivative.
2. Discontinue the statin and change to ezetimibe.
3. Continue the statin and add in ezetimibe.
4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia.
3
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When a nurse visited a client's home, it was apparent that the client had not begun to implement the needed exercise program. Rather, the client had been doing drawings about his illness experience
Which of the following actions would be most appropriate for the nurse to take next? a. Express admiration for his artistic ability, and do not schedule future visits because the patient is noncompliant b. Point out the negative consequences that will ensue if the client does not begin exercising c. Review with the client why exercise is so crucial to his recovery d. Suggest drawing might be more forceful after exercising
A patient will begin taking fexofenadine [Allegra] for hay fever. The nurse teaching this patient will tell the patient that:
a. fexofenadine should be taken with food to prevent gastrointestinal (GI) symptoms. b. the medication may be taken once or twice daily. c. tolerance to sedation will occur in a few weeks. d. with renal impairment, this drug should be taken every other day.
Population health is an approach and perspective that focuses on:
a. Control of the spread of the HIV virus worldwide b. The broad range of factors and conditions that influence health c. Community-based care for all citizens d. Prevention and diagnosis of disease worldwide
In reviewing the results of the client's blood work, the nurse recognizes that the unexpected val-ue that should be reported to the health care provider is:
1. Calcium 3.9 mEq/L 2. Sodium 140 mEq/L 3. Potassium 3.5 mEq/L 4. Magnesium 2.1 mEq/L