A client arrives to the healthcare setting and is currently taking atorvastatin daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

migraine headache

bradycardia

dark-red urine

elevated HDL cholesterol

Answer and Explanation

The Correct Answer is C

A) Migraine headache: While migraines can be uncomfortable and distressing, they are not a known serious side effect of atorvastatin. Clients may experience headaches, but this symptom does not typically require immediate reporting unless accompanied by other concerning signs.

B) Bradycardia: Bradycardia, or a slow heart rate, is not a common side effect of atorvastatin. While monitoring heart rate is important, bradycardia alone does not necessitate immediate reporting unless it leads to significant symptoms or complications.

C) Dark-red urine: Dark-red urine is a concerning finding that could indicate serious conditions, such as hematuria or rhabdomyolysis, particularly when associated with statin use. This symptom requires immediate reporting to the healthcare provider, as it may signify potential muscle breakdown or kidney issues, which are serious complications of atorvastatin therapy.

D) Elevated HDL cholesterol: Increased levels of HDL (high-density lipoprotein) cholesterol are generally considered beneficial and a positive outcome of treatment. Therefore, this finding would not necessitate immediate reporting to the healthcare provider.

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Correct Answer is ["C","D","E","F"]

Explanation

A) Constipation: While constipation can occur with digoxin use, it is not a classic sign of digoxin toxicity. Therefore, it is less critical for the client to monitor this symptom specifically in relation to toxicity.

B) Dark red urine: Dark red urine is not typically associated with digoxin toxicity. This symptom could indicate other conditions, such as blood in the urine or issues with the kidneys, but it is not a direct manifestation of digoxin toxicity.

C) Bradycardia: Digoxin toxicity can lead to bradycardia, characterized by a slower than normal heart rate. The client should be instructed to monitor their pulse and report any significant changes, especially if the heart rate drops below 60 beats per minute.

D) Nausea: Nausea is a common symptom of digoxin toxicity. Clients should be aware of this and report any persistent or severe nausea, as it may indicate that the digoxin levels in their system are too high.

E) Vomiting: Vomiting is another classic sign of digoxin toxicity. Clients should be instructed to report any episodes of vomiting, as this can further complicate their condition and may require adjustment of their medication.

F) Anorexia: Anorexia, or loss of appetite, can also occur with digoxin toxicity. Clients should be advised to monitor their appetite and report any significant changes, as this can be an early indicator of toxicity.

A. Digoxin B. Warfarin C. Beta blockers D. Heparin

Correct Answer is {"A":{"answers":"D"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Digoxin: The correct reversal agent for digoxin toxicity is Digibind (also known as digoxin immune Fab). This agent binds directly to digoxin, forming an inactive complex that the kidneys excrete, effectively reducing digoxin’s toxic effects.

Warfarin: Vitamin K acts as an antidote to warfarin by promoting clotting factor synthesis in the liver, counteracting warfarin’s anticoagulant effects. This reversal is particularly important in cases of bleeding or excessively high INR.

Beta blockers: Glucagon is used as a reversal agent in beta blocker overdose, as it increases heart rate and myocardial contractility by activating a pathway independent of beta-adrenergic receptors, which helps to mitigate severe bradycardia and hypotension.

Heparin: Protamine sulfate serves as the antidote for heparin, neutralizing its anticoagulant effect. Protamine binds with heparin to form a stable complex, reducing the risk of bleeding in cases of heparin overdose.

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A client arrives to the healthcare setting and is currently taking atorvastatin daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (Select all that apply.)

Correct Answer is ["C","D","E","F"]

Explanation

A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent.

Correct Answer is {"A":{"answers":"D"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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