While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?

Correct Answer: D

Rationale: Antilipemic agents are medications used to lower lipid levels in the blood, particularly cholesterol. These medications can have hepatotoxic effects, meaning they can potentially cause liver damage. Therefore, patients on antilipemic therapy need to be closely monitored for signs of liver dysfunction, such as elevated liver enzymes, jaundice, abdominal pain, or unexplained fatigue. Regular liver function tests are often conducted to ensure the liver is functioning properly while the patient is on this therapy. Monitoring for liver dysfunction is crucial to prevent complications and ensure the safety of the patient.

Correct Answer: A

Rationale: Nicotinic acid, also known as niacin, is commonly associated with adverse effects of pruritus (itching) and cutaneous flushing (reddening of the skin). These effects are often dose-related and can be minimized if the medication is taken with food or slowly titrated up. Tinnitus and urine with a burnt odor are not typically associated with nicotinic acid. Myalgia (muscle pain) and fatigue are more commonly seen with statin medications rather than niacin. Blurred vision and headaches are not commonly reported side effects of nicotinic acid either.

Correct Answer: A

Rationale: Lithium is commonly used as a mood stabilizer in the treatment of bipolar disorder. One of its main therapeutic effects is its ability to prevent or decrease the incidence of acute manic episodes in individuals with bipolar disorder. Lithium can help stabilize mood swings and reduce the severity and frequency of manic episodes. By regulating neurotransmitter levels in the brain, lithium helps to balance mood and prevent the extreme highs associated with mania. It is an essential medication for managing bipolar disorder and is particularly effective in treating manic symptoms.

Correct Answer: A

Rationale: In this case, the blood type of the donor (type O, Rh-negative) is not compatible with the blood type of the patient (type AB, Rh-positive). Blood type AB individuals can receive blood from all blood types (universal recipient), but they can only donate to individuals with the same blood type. Therefore, if a patient with blood type AB receives a transfusion of type O blood, it will lead to a major incompatibility reaction, possibly resulting in serious complications such as hemolysis (destruction of red blood cells), renal failure, and even death. It is crucial for the nurse to verify the blood type of the patient and ensure that the correct blood type is provided to prevent such adverse reactions.

Correct Answer: A

Rationale: Albuterol is a medication commonly used to treat asthma and other respiratory conditions. It works by relaxing the muscles in the airways, allowing the air passages to widen and making it easier to breathe. This bronchodilation effect helps to relieve symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is classified as a short-acting beta-agonist, and its therapeutic use lies in its ability to provide quick relief during acute asthma attacks or to prevent exercise-induced bronchospasm.