A client is going to start taking atorvastatin (Lipitor) to help decrease cholesterol. The nurse is providing teaching to the client, and should stress the importance of:
1. Reporting unusual bleeding to the physician.
2. Reporting dizziness to the physician.
3. Drinking ample amounts of fluid when taking the medication.
4. Starting an exercise program and a low-cholesterol diet.
Answer: 4
1. Unusual bleeding can be seen with fibric acid agents.
2. Dizziness can occur when taking nicotinic acid.
3. Bile acid sequestrants can cause constipation, so the client is instructed to increase fluids.
4. Along with medication, the client should be instructed to begin an exercise program and a low-cholesterol diet to help control LDL cholesterol.
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A patient who has been taking an antidepressant for 2 months shares with the nurse, "Since my depression is over, I've stopped the Prozac and I won't need to see you any longer.". Which response by a nurse would be most therapeutic?
a. "Do you recall that we discussed the need for you to take the medication for up to 1 year before trying to taper off the drug? Let's discuss why it's not advisable to stop your medication abruptly.". b. "It is not recommended that you stop the antidepressants abruptly. I strongly suggest that you continue seeing me regularly to ensure that any change in your condition will be treated immediately.". c. "You should not discontinue your medication without consulting your psychiatrist. You will very likely experience withdrawal symptoms and become more depressed than you were before.". d. "Although it isn't wise to stop the medication as you have, you seem to be handling things very well. Call me if you have any questions and follow-up with your psychiatrist in a year.".
The nurse is planning care for a client diagnosed with Graves' disease. Which of the following nursing interventions would be appropriate for this client's care?
1. Administer a stool softener. 2. Provide extra blankets. 3. Provide frequent meals. 4. Restrict the caloric intake.
Which of these nursing communications would be most effective when teaching an older adult patient about aging through the disengagement theoretical framework?
a. "It's a natural result of growing older that your level of activity will decrease.". b. "It's important to maintain the same level of socialization throughout your lifetime, even though the type of activity may be changed to accommodate aging.". c. "It's important to maintain the familiarity of your environment to reflect your enduring competencies even though you're an older adult.". d. "Look to the ways in which your family of origin functions. If they are impaired it is more likely that you will be, too, as you age.".
The school nurse has noticed that children who ride their bikes to school do not use safety protective gear such as helmets. The literature confirms that bike safety is a problem particularly for school-aged children in rural communities
The nurse's assessment leads to a diagnosis indicating a need for teaching. Which of the following statements is the best nursing diagnostic statement based on the assessment data? A) Risk for injury related to lack of knowledge of bicycle safety B) Knowledge deficit related to bike safety C) Ineffective health management related to a knowledge deficit of health care safety techniques D) Alteration in safety management related to a lack of understanding of the importance of safety endeavors in school-aged children