A nurse is caring for a client who is taking rosuvastatin. Which of the following findings should the nurse report to the provider immediately?

Dyspepsia

Elevated creatine kinase

Headache

Mostly cloudy

Decreased HDL cholesterol

Answer and Explanation

The Correct Answer is B

A. Dyspepsia: While dyspepsia can be uncomfortable, it is not a critical finding that requires immediate reporting to the provider. It may be a common side effect of statins but typically does not warrant urgent intervention.

B. Elevated creatine kinase: An elevated creatine kinase level can indicate muscle damage, which is a serious side effect associated with rosuvastatin and other statins. This finding requires immediate reporting to prevent complications such as rhabdomyolysis.

C. Headache: A headache may occur with many medications and does not usually require immediate reporting unless it is severe or persistent.

D. Mostly cloudy: This option does not pertain to any specific clinical finding or symptom and is therefore not relevant to the question.

E. Decreased HDL cholesterol: While low HDL cholesterol can be a concern, it is not as urgent as elevated creatine kinase levels and typically does not require immediate action.

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Correct Answer is A

Explanation

A. It is important to inform the client that nitrofurantoin can cause brown-colored urine as a harmless side effect and they should report this to their provider.

B. Nitrofurantoin is an antibiotic used to treat urinary tract infections and does not provide relief for peripheral nerve pain.

C. Nitrofurantoin should not be crushed because it can affect the medication's absorption and effectiveness.

D. While coughing is not a common side effect of nitrofurantoin, if the client develops a cough, it could indicate a serious reaction, so it is important to notify the provider. However, the primary teaching point for nitrofurantoin is regarding the urine discoloration.

A. Muscle rigidity of the extremities B. Bounding radial pulses C. Depressed deep tendon reflexes D. Increased bowel motility

Correct Answer is C

Explanation

A. Muscle rigidity of the extremities: This finding is more indicative of hyperkalemia or severe electrolyte imbalances but is not a common symptom of hypokalemia.

B. Bounding radial pulses: This finding is more associated with hypervolemia or hyperkalemia, not with hypokalemia caused by furosemide.

C. Depressed deep tendon reflexes: This is the correct response, as low potassium levels (hypokalemia) can lead to diminished reflexes due to its role in neuromuscular function.

D. Increased bowel motility: This is incorrect, as hypokalemia typically results in decreased bowel motility and may cause constipation rather than increased motility.

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A nurse is caring for a client who is taking rosuvastatin. Which of the following findings should the nurse report to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following Information should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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