A patient will begin taking atorvastatin [Lipitor] to treat elevated LDL levels. The patient asks the nurse what to do to minimize the risk of myositis associated with taking this drug. What will the nurse counsel this patient?
a. "Consume an increased amount of citrus fruits while taking this drug."
b. "Take vitamin D and coenzyme Q sup-plements."
c. "Ask your provider about adding a fibrate medication to your regimen."
d. "Have your creatine kinase levels checked every 4 weeks."
B
Patients taking a statin medication may take vitamin D and coenzyme Q supplements to reduce their risk of developing myositis. Citrus fruits can elevate statin levels and increase the risk of myositis. Fibrates also cause myositis in some patients, and adding a fibrate will increase the risk. Creatine kinase levels should be determined at baseline and as needed if symptoms occur but do not need to be monitored every 4 weeks.
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An employee approaches the occupational health nurse to discuss safety related to working with toxic substances. The employee is asking about measures to prevent inhalation exposure of the substances
Which statement by the nurse will decrease the patient's exposure risk to toxic substances? A) "Position a fan blowing on the toxic substances to prevent the substance from becoming stagnant in the air." B) "Wear protective attire and devices when working with the toxic substance." C) "Dilute the toxic substance by spraying it with water forcefully. D) "Store toxic substances in tightly sealed, unlabeled containers."
Elderly patients who require critical care treatment are at risk for increased mortality, functional decline, or decreased quality of life after hospitalization
Assuming each of these patients was discharged from the hospital, which of the following patients is at greatest risk for decreased functional status and quality of life? a. A 70-year-old who had coronary artery bypass surgery. He developed complications after surgery and had difficulty being weaned from mechanical ventilation. He required a tracheostomy and gastrostomy. He is being discharged to a long-term, acute care hospital. He is a widower. b. A 79-year-old admitted for exacerbation of heart failure. She manages her care independently but needed diuretic medications adjusted. She states that she is compliant with her medications but sometimes forgets to take them. She lives with her 82-year-old spouse. Both consider themselves to be independent and support each other. c. A 90-year-old admitted for a carotid endarterectomy. He lives in an assisted living facility (ALF) but is cognitively intact. He is the "social butterfly" at all of the events at the ALF. He is hospitalized for 4 days and discharged to the ALF. d. An 84-year-old who had stents placed to treat coronary artery occlusion. She has diabetes that has been managed, lives alone, and was driving prior to hospitalization. She was discharged home within 3 days of the procedure.
Moving a patient between different care sites as a person's needs change is called a(n)
A) coordination. B) restorative service. C) transition. D) patient-focus.
The nurse documenting the presence of pain in a patient with possible gastric ulcer would anticipate that the pain would occur at which time?
a. In the morning b. Erratically, without pattern c. At bedtime d. With meals