A patient presents to the clinic with complaints of muscle aches, muscle pain, and weakness. Upon review of the individual's medications, the nurse notes that the patient is concurrently taking gemfibrozil (Lopid) and atorvastatin (Lipitor)
The nurse should assess the patient for the development of:
a. migraines.
b. hypothyroidism.
c. myopathy.
d. heart failure.
ANS: C
When gemfibrozil and a statin are taken concurrently, the risk of myopathy is increased more than with either agent alone. Migraines, hypothyroidism, and heart failure are not drug-to-drug interactions.
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The nurse begins a blood transfusion, and comes back in 15 minutes to assess the client. The client complains of suddenly feeling cold and is shivering
The client's blood pressure has decreased since the last assessment. Which is the nurse's priority action? 1. Notify the health care provider. 2. Monitor the client's blood pressure every 5 minutes. 3. Stop the blood infusion, and run the normal saline on the other side of the Y tubing. 4. Stop the blood infusion, and remove the tubing from the IV catheter, replacing it with normal saline.
Which assessment leads the emergency department nurse to suspect that a patient's spinal cord injury (SCI) is below C4?
a. Voluntary eye movement b. Ability to blink the eyelids c. Unlabored respiration d. Ability to make a facial grimace
A nurse is teaching a group of patients about the prevalence of type 2 diabetes in older adults. The nurse knows teaching has been effective when a patient states, "Statistically, in a group of 100 older adults in the United States, approximately:
1. 10 will have type 2 diabetes." 2. 17 will have type 2 diabetes." 3. 27 will have type 2 diabetes." 4. 33 will have type 2 diabetes."
A staff nurse is late for rounds every morning. As the nurse manager, you inform the staff nurse that continued tardiness will result in a suspension. In this instance, you are exerting which type of power?
a. Reward c. Coercive b. Referent d. Informational