A male patient has been diagnosed with moderately increased LDL, and his primary care provider wishes to begin him on a statin. What is a potential disadvantage of statins that the care provider should consider? Select all that apply
A) Statins are nephrotoxic.
B) Statins are expensive.
C) Statins are contraindicated in patients with a history of myocardial infarction.
D) Statins require regularly scheduled blood work.
E) Statins have an immunosuppressive effect.
B, D
Feedback:
Because liver enzymes may be elevated during atorvastatin use, patients need liver function tests and repeat lipid profile testing on a routine basis. These drugs are also expensive. They are not nephrotoxic and do not suppress the immune system. Previous MI is an indication for their use, not a contraindication.
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Before applying a new, dry dressing to a client's surgical incision, the nurse should remove and discard the current dressing with gloved hands and then:
a. cleanse the skin around the incision with hydrogen peroxide b. remove soiled gloves and apply clean gloves before proceeding c. notify the health care provider if any irritation is evident d. apply a new dressing
A nurse is caring for a 33-year-old male who has come to the clinic for a physical examination
He states that he has not had a routine physical in 5 years. During the examination, the physician finds that digital rectal examination (DRE) reveals "stoney" hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what? A) A normal finding B) A sign of early prostate cancer C) Evidence of a more advanced lesion D) Metastatic disease
When making a home visit to a low income, frail, older person's home, a nurse would most likely suspect adult maltreatment if:
a. The older person reports giving money to family members on a regular basis. b. The windows of the house are in need of repair. c. The older person spends a great deal of time watching television. d. There are dogs running loose in the yard of the home.
A client is burned through all the dermis with only a few epidermal appendages intact. This burn is classified as:
a. first degree. b. superficial partial-thickness. c. deep partial-thickness. d. third degree.