The nurse is caring for a post–myocardial infarction (MI) patient who has been started on daily simvastatin (Zocor) and a low-fat diet. Which statement best indicates that the nurse's teaching has been successful?
a. "I will need to have blood work every month while taking Zocor."
b. "I should take my Zocor with grapefruit juice to help absorption.
c. "I should call my doctor if I experience unexplained muscle pain."
d. "I should take Zocor an hour before my biggest meal of the day."
C
Statins can injure muscle tissue and are toxic to the liver in some patients. Patients should report any unexplained muscle tenderness or pain persisting for more than a few days. Laboratory tests for liver enzymes are recommended at the start of therapy and only when clinically indicated. Grapefruit juice interferes with drug metabolism and should be avoided to prevent increased risk of toxicity. Zocor can be taken without regard to meals.
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When administering oxygen to clients with conditions such as emphysema, it is important for the nurse to remember that for these clients the:
a. drive to breathe may be dependent on low levels of oxygen in the blood b. respiratory rate may be increased a great part of the time c. intercostal muscles contract during inspiration, but fail to relax during expiration d. lung stretch receptors may fail to monitor the patterns of breathing
An adult patient has been on pravastatin for 6 years. The nurse should monitor which laboratory study?
a. Creatinine b. Urinary sediment c. Serum transaminases d. Thyroid function studies
The nurse is concerned about a critically ill client's fluid intake because intravenous fluids have expired. For which role of water in the human body should the nurse be most concerned in this client?
a. Euhydration b. Weight stabilization c. Elimination of fecal material d. Transport of nutrients and other substances
Vouchers for food are benefits of the
a. La Leche League. b. United States Department of Agriculture Assistance Program. c. Special Supplemental Program for Wom-en, Infants, and Children. d. U.S. Public Health Service and the Amer-ican Academy of Pediatrics.