A patient who is taking simvastatin [Zocor] develops an infection and the provider orders azithromycin [Zithromax] to treat the infection. The nurse should be concerned if the patient complains of:
a. nausea.
b. tiredness.
c. muscle pain.
d. headache.
C
Statins can injure muscle tissue, causing muscle aches and pain known as myopa-thy/rhabdomyolysis. Daptomycin also can cause myopathy and therefore should be used with caution in patients concurrently taking simvastatin. Nausea, tiredness, and headache would not cause the nurse as much concern as the likelihood of myopathy.
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The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient's medications can the nurse administer through the tube? (Select all that apply.)
a. Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime b. Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea c. Ceclor (cefaclor for oral suspension) 250 mg q 6 hours d. Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours e. Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours f. Potassium chloride oral solution 20 mEq daily
While on a camping trip, the nurse provides care for a camper who was bitten by a black widow spider. What is the priority action of the nurse?
a. Apply ice to the site of the bite. b. Apply a loose tourniquet to the limb. c. Give acetaminophen (Tylenol) for pain. d. Cover the camper with a warm blanket.
When using a hydraulic mechanical lift,
A. two or more nursing assistants are needed. B. place the chair at right angles to the foot of the bed facing the foot of the bed. C. place the sling under the patient's buttocks and legs. D. leave the door to the room open, in case help is needed.
The nurse is providing care for a newly admitted patient. The patient has many questions about the admission diagnosis and medication. What should be the highest priority nursing action for this patient?
A. Determine the patient's coping skills for dealing with his diagnosis. B. Reassure the patient that nurses will monitor for adverse effects to medication. C. Evaluate the patient's overall knowledge related to the diagnosis and medication. D. Document that the patient displays a risk for medication noncompliance due to knowledge deficit.