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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale
Tetracycline should not be consumed with milk or antacids. These substances contain calcium, which can bind to tetracycline in the stomach and reduce its absorption and effectiveness.
Choice B rationale
Tetracycline can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should be advised to protect their skin from sunlight while taking this medication.
Choice C rationale
Taking tetracycline with orange juice is not recommended. Citrus fruits and juices contain calcium, which can bind to tetracycline in the stomach and reduce its absorption and effectiveness.
Choice D rationale
Returning to the clinic weekly for serum drug level checks is not typically necessary for patients taking tetracycline. While regular follow-up appointments may be needed to monitor the patient’s response to treatment, weekly serum drug level checks are not a standard part of tetracycline therapy.
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