A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients
Treatment of high cholesterol using statins would be contraindicated in which of the following patients?
A) A 72-year-old man who has emphysema and a 55-pack-year history of cigarette smoking
B) An obese male client who is a heavy alcohol user and who has cirrhosis of the liver
C) A female client who had a laparoscopic cholecystectomy (gall bladder removal) earlier this year
D) A resident of a long-term care facility whose Alzheimer disease is being treated with donepezil (Aricept)
B
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A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse-client ratios. b. Choose the hospital that has the newest technology. c. Find a hospital that is accredited by The Joint Commission. d. Use a facility affiliated with a medical or nursing school.
When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical manifestation, which is:
a. clubbing of the digits. b. upper extremity hypertension. c. pedal edema and portal congestion. d. loud systolic ejection murmur.
A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
a. It is initiated when the bilirubin level reaches 5 mg/dL. b. It converts bilirubin to a water-soluble form to be excreted in the urine. c. It changes bilirubin to a bile salt to be excreted through the bowel. d. It requires eye patches to remain in place 24 hours a day.
A patient has received two doses of dinoprostone [Prepidil] to initiate labor. It has been 6 hours since the last dose
The nurse assesses the patient and notes that the cervix is ripe and dilated to 4 cm, but contractions are diminishing in intensity and frequency. What will the nurse expect to do? a. Administer oxytocin. b. Monitor urine output. c. Prepare for a cesarean section. d. Watch closely for fetal distress.