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 nausea and diarrhea can occur when using ginkgo biloba, these are not the most critical side effects to be aware of.

Choice B rationale

Ginkgo biloba should indeed be used with caution during pregnancy due to potential risks. However, this is not the most important information for this patient.

Choice C rationale

Ginkgo biloba can interact with aspirin and non-steroidal anti-inflammatory drugs, increasing the risk of bleeding. This is crucial information for the patient, especially if they are taking these medications.

Choice D rationale

While anxiety and headaches can increase with the use of ginkgo biloba, these are not the most critical side effects to be aware of.

A. Diarrhea. B. Unusual irritability. C. Nausea. D. Involuntary movements.

Correct Answer is D

Explanation

Choice A rationale

Diarrhea is a potential side effect of metoclopramide, but it’s not typically considered a serious adverse effect that would require immediate reporting.

Choice B rationale

Unusual irritability can occur with metoclopramide use, but it’s not typically considered a serious adverse effect that would require immediate reporting.

Choice C rationale

Nausea is actually one of the conditions that metoclopramide is used to treat, so it would be unusual for it to cause this symptom.

Choice D rationale

Involuntary movements, or tardive dyskinesia, is a serious potential side effect of metoclopramide. If a patient develops this condition, it should be reported immediately.

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

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Naxlex Comprehensive Predictor Exams

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