A patient who has been taking a statin has seen an improvement in his cholesterol laboratory values; however, the low-density lipoprotein remains elevated. What medication will be added to the medication regimen?
A) Digoxin (Lanoxin)
B) Vitamin D
C) Cholestyramine (Questran)
D) Calcium carbonate
C
Feedback:
Cholestyramine is administered to patients to reduce LDL cholesterol in patients who are already taking a statin drug. Digoxin is not given to lower LDL cholesterol. Vitamin D is not given to lower LDL cholesterol. Calcium carbonate is not given to lower LDL cholesterol.
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A patient has had a "terrible itch" for several months that he has been continuously scratching. On examination, the nurse might expect to find:
a. A keloid. b. A fissure. c. Keratosis. d. Lichenification.
A salesman has had difficulty holding a job because he accuses co-workers of conspiring to take his
sales. Today, he argued with several office mates and threatened to kill one of them. The police were called, and he was brought to the mental health center for evaluation. He has had previous admissions to the unit for stabilization of symptoms of paranoid schizophrenia. When the nurse meets him, he points at staff in the nursing station and states loudly "They're all plotting to destroy me. Isn't that true?" An appropriate response for the nurse would be a. "No, that is not true. People here are trying to help you if you will let them.". b. "Everyone here is trying to help you. No one wants to harm you.". c. "Thinking that people want to destroy you must be very frightening.". d. "That is absurd. Staff are health care workers, not members of the mob.".
The first segment of the left coronary artery is the _____ artery
a. circumflex b. right coronary c. left main coronary d. left anterior descending
The nurse is working in an outpatient clinic. Which client's indications most warrant fetal monitoring in the third trimester?
1. Gravida 4, para 3, 39 weeks, with a history of one spontaneous abortion at 8 weeks 2. Gravida 1, para 0, 40 weeks, with a history of endometriosis and a prior appendectomy 3. Gravida 3, para 2, with a history of gestational diabetes controlled by diet 4. Gravida 2, para 1, 36 weeks, with a history of history of preterm labor or cervical insufficiency