a nurse is providing teaching to a client who is starting simvastatin which of the following information should the nurse include in the teaching

ATI RN

ATI Pharmacology Quizlet

1. A client is starting Simvastatin. Which of the following information should be included in the teaching?

A. Take this medication in the evening.
B. Change positions slowly when rising from a chair.
C. Maintain a steady intake of green leafy vegetables.
D. Consume no more than 1 L/day of fluid.

Correct answer: A

Rationale: The correct answer is to take simvastatin in the evening. This timing is recommended because nighttime is when the most cholesterol is synthesized in the body. By taking statin medications in the evening, it can enhance their effectiveness in reducing cholesterol levels.

2. Which of the following drugs is associated with Stevens-Johnson syndrome?

A. Valproic acid
B. Quinidine
C. Isoniazid
D. Ethosuximide

Correct answer: D

Rationale: Stevens-Johnson syndrome is a severe skin reaction that can be associated with Ethosuximide.

3. A client with a urinary tract infection (UTI) is prescribed ciprofloxacin. Which instruction should the nurse provide to the client?

A. If the medication causes an upset stomach, take an antacid at the same time.
B. Increase your daily fluid intake while taking this medication.
C. This medication can cause photophobia, so avoid direct sunlight exposure.
D. You should report any tendon discomfort you experience while taking this medication.

Correct answer: D

Rationale: The correct answer is D. Tendon discomfort is a potential side effect of ciprofloxacin that can lead to tendon rupture and should be reported immediately to prevent serious complications. Monitoring for this adverse effect is crucial for patient safety. Choices A, B, and C are incorrect because: A) Taking an antacid with ciprofloxacin can interfere with its absorption. B) Increasing fluid intake is generally a good recommendation but not specifically related to the side effects of ciprofloxacin. C) Photophobia is not a common side effect of ciprofloxacin; therefore, avoiding direct sunlight exposure is not necessary.

4. What is the therapeutic use of metformin?

A. Lower blood pressure
B. Diminish seizure activity
C. The maintenance of a person's blood glucose levels
D. Increase heart rate and decrease gastrointestinal secretions

Correct answer: C

Rationale: Metformin is commonly prescribed to manage and control blood glucose levels in individuals with diabetes. It helps in reducing the amount of glucose produced by the liver and improves the body's response to insulin, thereby aiding in the regulation of blood sugar levels. It is not used to lower blood pressure, diminish seizure activity, increase heart rate, or decrease gastrointestinal secretions.

5. A nurse is caring for a client who is receiving treatment with vincristine. Which of the following findings should the nurse monitor?

A. Hyperkalemia
B. Neurotoxicity
C. Neutropenia
D. Bradycardia

Correct answer: B

Rationale: The correct answer is B: Neurotoxicity. Vincristine is known to cause neurotoxicity as an adverse effect due to its impact on the nervous system. Monitoring for symptoms such as peripheral neuropathy, muscle weakness, and tingling sensations is crucial. Choices A, C, and D are incorrect because hyperkalemia, neutropenia, and bradycardia are not typically associated with vincristine therapy.