Author Question: The nurse is caring for a postmyocardial infarction (MI) patient who has been started on daily ... (Read 79 times)

yoooooman · **on:** Jun 25, 2018

The nurse is caring for a postmyocardial infarction (MI) patient who has been started on daily simvastatin (Zocor) and a low-fat diet. Which statement best indicates that the nurse's teaching has been successful?

a. I will need to have blood work every month while taking Zocor.
b. I should take my Zocor with grapefruit juice to help absorption.
c. I should call my doctor if I experience unexplained muscle pain.
d. I should take Zocor an hour before my biggest meal of the day.

Question 2

The nurse has provided discharge instructions to a patient who underwent a vasectomy. Which statement indicates the patient understands the nurse's teaching?

a. I can use a heating pad this evening for my discomfort.
b. Taking aspirin every 4 hours will help with my pain.
c. I should leave the compression dressing on for the first 24 hours.
d. I should ice my scrotum once I get home.

dmurph1496 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
Statins can injure muscle tissue and are toxic to the liver in some patients. Patients should report any unexplained muscle tenderness or pain persisting for more than a few days. Laboratory tests for liver enzymes are recommended at the start of therapy and only when clinically indicated. Grapefruit juice interferes with drug metabolism and should be avoided to prevent increased risk of toxicity. Zocor can be taken without regard to meals.

Answer to Question 2

D
Instruct the patient to use ice applications and acetaminophen or ibuprofen for scrotal pain and swelling the first 12 to 24 hours postoperatively. The patient should wear jockey shorts or a scrotal support for comfort. Heat is not recommended during the first 24 hours postoperatively. Aspirin may promote bleeding. The patient will not have a compression dressing.