A patient prescribed atorvastatin (Lipitor) reports all of the following problems or changes since starting this drug. Which problem or change does the nurse report to the prescriber?
a. Abdominal cramps and bloating
b. Muscle aches and weakness
c. Urinating more at night
d. Loss of taste for sweets
B
Atorvastatin can cause the adverse reaction of rhabdomyolysis, which is the destruction of ske-letal muscle. The symptoms of this problem are muscle aches and weakness. When a patient de-velops this problem, the drug should be stopped.
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What would be the most effective intervention by the nurse when a patient with a cognitive disorder begins to exhibit delusional behavior as a result of excessive stimulation?
a. Medicate with a psychoactive drug such as lorazepam or diazepam. b. Send the patient to his or her room for "time out." c. Remind the patient that acting out behavior will not be tolerated. d. Distract the patient with a quiet activity.
A 29-year-old woman with systemic lupus erythematosus has been prescribed 2 weeks of high-dose prednisone therapy. Which information about the prednisone is most important for the nurse to include?
a. "Weigh yourself daily to monitor for weight gain caused by increased appetite." b. "A weight-bearing exercise program will help minimize the risk for osteoporosis." c. "The prednisone dose should be decreased gradually rather than stopped suddenly." d. "Call the health care provider if you experience mood alterations with the prednisone."
A terminal ill client's pain is being managed with opioid analgesics. When he reports experiencing constipation, the nurse's most therapeutic response is:
1. "It's a side effect of the pain medication you are taking." 2. "I'll discuss adding some additional bulk to your diet with your wife." 3. "Try drinking more liquids while you are awake to help soften your stool." 4. "I'll see about getting a prescription for a laxative in order to avoid the problem."
F.N. has ICP monitoring in place with an intraventricular catheter. Nursing interventions
while the catheter is in place include which of the following? Select all that apply. a. Continuously monitoring the ICP waveforms b. Using aseptic technique when setting up the device c. Maintaining a cerebral perfusion pressure of 60 mm Hg d. Leveling the transducer even with the foramen of Monroe e. Administering prophylactic antibiotic therapy f. Notifying the physician if the ICP is greater than 30 mm Hg