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 tak-ing gemfibrozil (Lopid) and atorvastatin (Lipitor)

The nurse should assess the patient for the development of a. hepatotoxicity.
b. hypothyroidism.
c. myopathy.
d. heart failure.


C
When gemfibrozil and a statin are taken concurrently, the risk of myopathy is increased more than with either agent alone.
Hepatotoxicity, hypothyroidism, and heart failure, are not drug-to-drug interactions.

Nursing

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The patient has systemic inflammatory response syndrome (SIRS) and very severe third spacing of fluid

During routine assessment, the nurse finds that the patient's skin appears generally swollen, red, and shiny, and the nurse is unable to depress the surface of the skin. What type or degree of edema is present? A) Nonpitting B) 2+ C) 3+ D) 4+

Nursing

To meet patient care needs, the LPN receives authority to delegate care to unlicensed personnel from:

1. the MD or RN who hired them. 2. the National Nurse Practice Act. 3. the 1994 Entry Level Competencies Report. 4. the Nurse Practice Act of the individual state.

Nursing

The nurse is aware that the most common cause of hearing loss in children is:

a. Purulent acute otitis media (AOM) b. Mastoiditis c. Unsuppurative otitis media with effusion (OME) d. Traumatic puncture of the eardrum

Nursing

The nurse suspects a patient is experiencing a sympathetic response. What manifestations should the nurse expect the patient to demonstrate this response? (Select all that apply.)

a. Relaxation of bladder b. Decrease in peristalsis c. Dilation of bronchioles d. Decrease in heart rate to normal e. Increase in salivary gland secretion

Nursing