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.
Decreased HDL cholesterol.
The Correct Answer is B
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Lorazepam is a benzodiazepine that acts on the central nervous system to produce sedative and anxiolytic effects, not directly affecting bladder function or urinary retention.
Choice B rationale
Bethanechol is a cholinergic agonist that stimulates the bladder's smooth muscle contraction, facilitating urination and relieving urinary retention. Normal bladder capacity is 400-600 mL.
Choice C rationale
Atropine is an anticholinergic drug that inhibits bladder contraction, worsening urinary retention by relaxing bladder smooth muscle and increasing sphincter tone.
Choice D rationale
Furosemide is a loop diuretic that increases urine production by inhibiting sodium and chloride reabsorption in the kidneys, not directly addressing urinary retention.
Correct Answer is B
Explanation
Choice A rationale
Diazepam is a benzodiazepine used to manage anxiety, seizures, and muscle spasms. It is not effective in treating malignant hyperthermia, a condition characterized by rapid onset of hypermetabolism and muscle rigidity triggered by certain anesthetics.
Choice B rationale
Dantrolene is the drug of choice for malignant hyperthermia. It acts by inhibiting calcium release from the sarcoplasmic reticulum in skeletal muscle, thereby reducing muscle rigidity and metabolic activity. Administer 2.5 mg/kg IV bolus initially.
Choice C rationale
Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms associated with acute musculoskeletal conditions. It does not have the specific mechanism required to counteract the effects of malignant hyperthermia.
Choice D rationale
Metaxalone is a muscle relaxant used to treat discomfort associated with acute skeletal muscle conditions. It is not indicated for the treatment of malignant hyperthermia and does not address the underlying pathophysiology of the condition.
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