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 B
Explanation
A. Chicken breast: Chicken breast is low in vitamin K and does not significantly affect warfarin’s anticoagulant effect. Regular consumption does not require adjustment in warfarin dosing, so it is generally safe to eat without major concern.
B. Brussels sprouts: Brussels sprouts are high in vitamin K, which can interfere with warfarin’s effectiveness by promoting clotting. Sudden increases or decreases in intake can cause fluctuations in INR levels, making it essential for clients to maintain a consistent intake.
C. Whole milk: Whole milk contains minimal vitamin K and does not significantly impact warfarin therapy. While it provides nutrients, it does not pose a risk for altering anticoagulation and does not require dietary restrictions for warfarin management.
D. Salami: Salami is high in sodium and fat but low in vitamin K, so it does not directly affect warfarin activity. While clients should monitor overall diet for cardiovascular health, salami intake does not necessitate strict control for anticoagulation purposes.
Correct Answer is D
Explanation
A. Fexofenadine: Fexofenadine is a second-generation antihistamine typically administered orally. It is non-sedating and not available in an intravenous form, so it is not suitable for immediate treatment of pruritus during an acute blood transfusion reaction.
B. Loratadine: Loratadine is also a second-generation oral antihistamine. It does not have an intravenous formulation and its onset is slower, making it ineffective for rapid symptom relief in acute transfusion reactions.
C. Cetirizine: Cetirizine is a second-generation antihistamine available orally. Although it is effective for allergic reactions, it does not have an IV form for rapid intervention during a transfusion-related pruritus episode.
D. Diphenhydramine: Diphenhydramine is a first-generation antihistamine that can be administered intravenously for rapid relief of pruritus during acute allergic reactions, including blood transfusion reactions. Its IV form allows immediate onset of action, which is critical in managing these acute symptoms.
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