The patient tells the nurse that his doctor wants him to take a medication for his high cholesterol, but he doesn't know which one would be best. What are the best responses by the nurse?
1. "The best drugs to raise your high density lipoprotein (HDL) levels are the fibric acid drugs."
2. "The statin drugs are good but will cause a lot of flushing if you swallow them with warm fluids."
3. "The bile resins keep cholesterol from being absorbed but have some side effects."
4. "The statin drugs inhibit the making of cholesterol and are considered the best choice."
5. "Fibric acid drugs will decrease triglycerides, but your low density lipoprotein (LDL) will still be high."
3,4,5
Rationale 1: The best drugs to raise high density lipoprotein (HDL) levels are statins, not fibric acid drugs.
Rationale 2: Niacin, not statins, will cause flushing, which is worse with warm fluids.
Rationale 3: Bile resins are effective, but numerous side effects limit their usefulness.
Rationale 4: Statin drugs inhibit HMG-CoA reductase which is necessary for the biosynthesis of cholesterol and are the drugs of first choice in reducing serum lipid levels.
Rationale 5: Fibric acid agents are effective but will not reduce low density lipoprotein (LDL) levels.
Global Rationale: Fibric acid agents are effective but will not reduce low density lipoprotein (LDL) levels. Statin drugs inhibit HMG-CoA reductase, which is necessary for the biosynthesis of cholesterol and are the drugs of first choice in reducing serum lipid levels. Bile resins are effective, but numerous side effects limit their usefulness. Niacin, not statins, will cause flushing, which is worse with warm fluids. The best drugs to raise high density lipoprotein (HDL) levels are statins, not fibric acid drugs.
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A. Dysthymia is a short-term depression and major depression lasts for years. B. Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe. C. Dysthymia is more likely to be caused by psychological factors and major depression is caused by neurological dysfunction. D. Dysthymia is normally treated with psychotherapy only, while major depression is treated with antidepressants and psychotherapy.
The nurse prepares dietary teaching for the family of a child with phenylketonuria (PKU) disease. What needs of the child should the nurse emphasize with the parents?
a. Daily vitamin supplements b. Foods that have very little phenylalanine c. Foods with high biologic protein every day d. A combination of complete and incomplete proteins every day
What is the most important communication strategy for the nurse to use when working with a child who is dying?
1. Talk to the child at the appropriate level of understanding. 2. Be totally open and honest with the child. 3. Avoid discussing death with the child. 4. Encourage the family to talk with the child about the impending death.
A client has been taking low-dose oral contraceptives. She calls the clinic and reports that she is mid-cycle and has noticed some slight spotting. What information should the nurse provide?
1. "Slight spotting may occur, especially with low-dose oral contraceptives." 2. "You may be pregnant; please stop taking these pills and come to the clinic." 3. "Monitor the bleeding and contact us again if it becomes continuous or heavy." 4. "This is an adverse reaction; stop using the pills." 5. "You must have gotten the wrong pills at the pharmacy."