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 C
Explanation
Choice A rationale
Applying a warming blanket prior to administration addresses chills but does not prevent fever or other infusion-related reactions to amphotericin B.
Choice B rationale
Infusing the medication over 1 hr does not reduce the risk of fever and chills, which are common infusion-related reactions to amphotericin B.
Choice C rationale
Administering diphenhydramine prior to administration can help prevent fever and chills by blocking histamine release, a common response to amphotericin B infusion.
Choice D rationale
Monitoring vital signs once per hour following administration does not prevent fever and chills; it only helps in early detection of adverse reactions to amphotericin B. .
Correct Answer is D
Explanation
Choice A rationale
Ganciclovir is an antiviral medication used to treat cytomegalovirus infections, not UTIs. Cytomegalovirus is a type of herpesvirus that can cause serious infections in immunocompromised individuals.
Choice B rationale
Amphotericin B is an antifungal medication used for severe fungal infections, not for bacterial UTIs. It is often reserved for life-threatening mycotic infections due to its toxicity.
Choice C rationale
Azithromycin is a macrolide antibiotic effective against various bacterial infections but not typically used for UTIs. It is often prescribed for respiratory infections and sexually transmitted infections.
Choice D rationale
Nitrofurantoin is an antibiotic specifically effective against common UTI pathogens. It is concentrated in the urine, making it particularly effective for urinary tract infections.
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