Author Question: A patient with high cholesterol is taking lovastatin (Mevacor). What drug would the nurse question ... (Read 48 times)

Jramos095 · **on:** Jul 23, 2018

A patient with high cholesterol is taking lovastatin (Mevacor). What drug would the nurse question if it was ordered for this patient?

A) Nifedipine (Procardia)
B) Ciprofloxacin (Cipro)
C) Itraconazole (Sporanox)
D) Oxazepam (Serax)

Question 2

What would be the best source of drug information for a nurse?

A) Drug Facts and Comparisons
B) A nurse's drug guide
C) A drug package insert
D) The Physicians' Drug Reference (PDR)

sailorcrescent · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Itraconazole is an azole antifungal drug that has been associated with severe cardiovascular events when taken with lovastatin. Nifedipine, ciprofloxacin, and oxazepam have no drug interactions with lovastatin. Nifedipine is an antihypertensive drug whose effects can be increased when taken with cimetidine. The effects of ciprofloxacin are altered when taken with antacids and theophyllines. Oxazepam is an antianxiety drug that should not be taken with alcohol or theophyllines.

Answer to Question 2

B
Feedback:
A nurse's drug guide provides nursing implications and patient teaching points that are most useful to nurses in addition to need-to-know drug information in a very user friendly organizational style. Lippincott's Nursing Drug Guide (LNDG) has drug monographs organized alphabetically and includes nursing implications and patient teaching points. Numerous other drug handbooks are also on the market and readily available for nurses to use. Although other drug reference books such as Drug Facts and Comparisons, PDR, and drug package inserts can all provide essential drug information, they will not contain nursing implications and teaching points and can be more difficult to use than nurse's drug guides.