Author Question: A patient who has been prescribed lovastatin (Mevacor) asks the nurse why all urine must be saved ... (Read 76 times)

Sportsfan2111 · **on:** Jul 23, 2018

A patient who has been prescribed lovastatin (Mevacor) asks the nurse why all urine must be saved for intake and output measurements. What is the nurse's best response?

a. All patients on this unit have orders for strict intake and output measurements.
b. Intake and output measurements are important indicators of how well your kid-neys are functioning.
c. A side effect of this drug can be blockage of urine flow through the kidneys and decreased urine output.
d. Sometimes this drug can cause the kidneys to make extra urine resulting in in-creased urine output and dehydration.

Question 2

A patient is prescribed a drug for insomnia. Which precaution is most important for the nurse to teach the patient?

a. Avoid drinking fluids with caffeine before bedtime.
b. Rinse your mouth frequently with water or saline.
c. Avoid driving within 8 hours of taking this drug.
d. Do not take this drug for more than 1 week.

Kimmy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Renal failure can occur if rhabdomyolysis (muscle breakdown) happens as an adverse effect of statin drugs. The protein released from broken-down muscle can block urine flow through the kidneys leading to decreased urine output. Telling the patient that intake and output measurement is an important assessment of kidney function is essentially correct, but it does not fully address the patient's question.

Answer to Question 2

C
All drugs for insomnia produce drowsiness, blurred vision, and can impair judgment. Driving or operating dangerous equipment within 6 to 8 hours after taking any of these drugs can result in accident or injury. Tasks that require mental alertness also should be delayed until these effects have subsided.