A nurse is caring for a 60-year-old male client in a provider’s clinic.

Exhibits

Click to select all the findings that require immediate follow-up.

Choice A rationale

Dyspepsia, or indigestion, can occur with statin use but is not usually indicative of a severe adverse reaction. It typically presents as discomfort or pain in the upper abdomen and can often be managed with dietary adjustments or antacids.

Choice B rationale

Elevated creatine kinase levels suggest muscle damage, which may indicate rhabdomyolysis, a serious side effect of statins like rosuvastatin. This condition can lead to kidney damage or failure and requires immediate medical intervention.

Choice C rationale

Headache is a common side effect of many medications, including statins. While uncomfortable, it is generally not considered an emergency unless accompanied by other symptoms such as vision changes or neurological deficits.

Choice D rationale

Decreased HDL cholesterol is not typically an urgent concern in the context of statin therapy. Rosuvastatin is prescribed to lower LDL cholesterol and reduce cardiovascular risk, with less emphasis on HDL cholesterol levels. .

Choice A rationale

Omeprazole does not have bactericidal activity. It is a proton pump inhibitor (PPI) that blocks the enzyme H+/K+ ATPase in the stomach lining, reducing gastric acid production.

Choice B rationale

Omeprazole does not neutralize stomach acid. It works by inhibiting the final step of acid production in parietal cells, leading to a significant decrease in gastric acid secretion.

Choice C rationale

Omeprazole does not coat the stomach lining. Instead, it reduces stomach acid by inhibiting the proton pump mechanism in gastric parietal cells, leading to decreased acid production and less gastric irritation.

Choice D rationale

Omeprazole is a proton pump inhibitor that effectively reduces stomach acid production by blocking the H+/K+ ATPase enzyme in gastric parietal cells, which decreases acid secretion and relieves GERD symptoms.