A client is started on statin therapy for reduction of high ...

[karlynnae]

A client is started on statin therapy for reduction of high cholesterol. When the client asks why blood work is needed routinely to monitor liver function, what should the nurse explain?
 
  1. The drugs inhibit cholesterol synthesis in the liver and may produce harmful effects.
  2. The drugs have been known to cause hepatitis in some people.
  3. It helps to monitor the response of the drug.
  4. All drugs are metabolized in the liver and it is just a safe practice.

Question 2

A female client with coronary heart disease asks the nurse, How will I know if I am having a heart attack if the symptoms are different for women? What should the nurse explain to this client?
 
  1. Women usually do not become short of breath.
  2. Fatigue and weakness in the lower extremities often occurs just before the chest pain.
  3. The pain is often experienced as nausea and heartburn.
  4. The pain is always precipitated by activity.

[SeanoH09]

Answer to Question 1

Answer: 1

1. Liver function tests are monitored during therapy to assess for possible toxic effects.
2. These medications do not cause hepatitis.
3. Liver function tests do not monitor the effectiveness of these medications.
4. All medications are not metabolized in the liver.

Answer to Question 2

Answer: 3

1. Shortness of breath does occur in women who are experiencing an acute MI.
2. Fatigue and weakness occur in the upper extremities.
3. Chest pain in females is often atypical; it may be silent, experienced as epigastric pain and nausea.
4. The pain can occur at rest.