A patient has been taking atorvastatin (Lipitor) for several months to treat hyperlipidemia. The patient reports muscle weakness and tenderness. The nurse will counsel the patient to
a. ask the provider about switching to simvastatin.
b. contact the provider to report these symptoms.
c. start taking ibuprofen to combat these effects.
d. stop taking the medication immediately.
ANS: B
Patients taking statins should report immediately any muscle aches or weakness, which can lead to rhabdomyolysis, a muscle disintegration that can become fatal. All statins carry this risk, so changing to another statin is not indicated. Ibuprofen may be useful, but notifying the provider is essential. Patients should not abruptly discontinue statins without discussing this with the provider.
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a. General b. Epidural c. Conscious sedation d. Local
A student nurse is learning about blood transfusion compatibilities. What information does this include? (Select all that apply.)
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Vascular volume increases by 45% to 50% during pregnancy to:
a. compensate for decreased renal plasma flow. b. provide adequate perfusion of the placenta. c. eliminate metabolic wastes of the mother. d. prevent maternal and fetal dehydration.
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A) Restrain the patient to prevent injury. B) Open the patient's jaws to insert an oral airway. C) Place patient in high Fowler's position. D) Loosen the patient's restrictive clothing.