A client taking atorvastatin has an increased serum creatine phosphokinase (CK) level. What should the nurse assess the client for?

Excessive bruising.

Peripheral edema.

Muscle tenderness.

Nausea and vomiting.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Excessive bruising is not a typical side effect of atorvastatin, and it is not linked to increased CK levels. Excessive bruising can be caused by bleeding disorders, anticoagulant therapy, or trauma.

Choice B rationale

Peripheral edema is not a common side effect of atorvastatin, and it is not related to increased CK levels. CK is an enzyme that is released when muscle tissue is damaged. Peripheral edema is more likely to be caused by heart failure, kidney disease, or venous insufficiency.

Choice C rationale

Muscle tenderness is a sign of myopathy, which is a rare but serious adverse effect of atorvastatin. Myopathy is a condition where muscle fibers are damaged and inflamed, leading to muscle weakness and pain. Increased CK levels indicate muscle injury and can be a marker of myopathy. The nurse should monitor the client for muscle symptoms and report them to the prescriber.

Choice D rationale

Nausea and vomiting are common gastrointestinal side effects of atorvastatin, but they are not associated with increased CK levels. Nausea and vomiting can be managed by taking the medication with food or reducing the dose.

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Correct Answer is C

Explanation

Choice A rationale

While a family history of mental illness is important information to obtain when planning care for a client with major depression, it is not the most important information when the client is receiving a new prescription for duloxetine. Family history can provide insight into the client’s risk factors for depression, but it does not directly impact the safety or efficacy of duloxetine.

Choice B rationale

Weight change in the last month is not the most important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine. While significant weight changes can be a symptom of depression and should be monitored, they do not directly impact the safety or efficacy of duloxetine.

Choice C rationale

Liver function laboratory results are the most important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine.

Duloxetine is metabolized in the liver, and abnormal liver function can affect the metabolism and elimination of the drug, potentially leading to increased side effects or decreased effectiveness. Therefore, it is crucial to assess liver function before and during treatment with duloxetine.

Choice D rationale

While recent use of other antidepressants is important information to obtain when planning care for a client with major depression who is receiving a new prescription for duloxetine, it is not the most important information. This information can help prevent drug interactions and serotonin syndrome, a potentially life-threatening condition. However, liver function has a more direct impact on the safety and efficacy of duloxetine.

A. Advise the patient to only consume water with the medication. B. Delay the medication until the patient’s breakfast tray arrives. C. Consult with a pharmacist about administering the dose one hour post-meal. D. Assign an unlicensed assistive personnel to bring the patient a glass of low-fat milk.

Correct Answer is A

Explanation

Choice A rationale

Risedronate should be taken with a full glass of plain water on an empty stomach, at least 30 minutes before any food, beverage, or other medicines. This is because food and beverages can decrease the absorption of risedronate.

Choice B rationale

Delaying the medication until the patient’s breakfast tray arrives would not be appropriate, as risedronate needs to be taken on an empty stomach.

Choice C rationale

Consulting with a pharmacist about administering the dose one hour post-meal would not be appropriate, as risedronate should be taken on an empty stomach.

Choice D rationale

Assigning an unlicensed assistive personnel to bring the patient a glass of low-fat milk would not be appropriate, as risedronate should be taken with plain water.

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A client taking atorvastatin has an increased serum creatine phosphokinase (CK) level. What should the nurse assess the client for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. What information is most important for the nurse to obtain?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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