A client who is taking atorvastatin presents to the clinic for a follow-up appointment. Which clinical finding is concerning to the nurse?
The client reports a recent onset of muscle pain
The client's high-density lipoprotein (HDL) increased
The client started taking oral contraceptive pills
The client's blood pressure is 116/78 while sitting
The Correct Answer is A
A. The client reports a recent onset of muscle pain: Muscle pain or weakness (myalgia) is a known adverse effect of atorvastatin and can indicate a serious complication such as rhabdomyolysis. This finding requires immediate assessment and possible adjustment of the medication regimen.
B. The client's high-density lipoprotein (HDL) increased: An increase in HDL is a desired effect of atorvastatin therapy. This finding is beneficial and indicates that the medication is helping improve lipid profile and cardiovascular risk.
C. The client started taking oral contraceptive pills: While statins can slightly increase the hormone levels of birth control pills, this is a known interaction but not an immediate clinical "finding" that would be as concerning as potential muscle breakdown.
D. The client's blood pressure is 116/78 while sitting: This blood pressure reading is within normal limits for an adult. It does not indicate a concerning clinical finding in the context of atorvastatin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. A client with an emphysema exacerbation: Clients experiencing an acute exacerbation of emphysema often have increased airway obstruction and difficulty breathing. A small volume nebulizer delivers bronchodilators directly to the lungs, providing rapid relief of bronchospasm and improving oxygenation.
B. A client experiencing an asthma attack: During an asthma attack, airway constriction can be severe. An SVN allows precise delivery of inhaled medications like albuterol, which rapidly dilate the airways and reduce respiratory distress, making it essential for urgent intervention.
C. A client with a common cold and fever: A common cold typically causes mild upper respiratory symptoms such as congestion and runny nose. SVNs are not indicated for routine cold management, as bronchodilator therapy is not necessary in uncomplicated viral infections.
D. A client with significant respiratory symptoms: Clients showing significant respiratory distress, regardless of underlying cause, may benefit from an SVN to administer medications that relieve bronchospasm, decrease airway inflammation, and improve ventilation rapidly.
E. A client with mild seasonal allergies: Mild seasonal allergies usually present with sneezing, watery eyes, and nasal congestion without significant airway obstruction. SVNs are not indicated for mild allergic symptoms, as oral or intranasal antihistamines are sufficient.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
• Sitting: The sitting position promotes optimal lung expansion and helps the client achieve maximum inhalation of the medication. Proper posture ensures that the airways are open and reduces the risk of aspiration or ineffective drug delivery. Sitting upright also enhances coordination between actuation and inhalation.
• Shake the inhaler: Shaking the metered dose inhaler mixes the medication and propellant evenly, ensuring a consistent and accurate dose is delivered. Failing to shake the inhaler can result in uneven dosing, reducing the effectiveness of therapy and potentially worsening the client’s respiratory symptoms.
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