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
Alosetron does not significantly impact gastric acid production. Its primary function is to modulate serotonin receptors in the gut, not to alter the secretion of gastric acids.
Choice B rationale
Alosetron, a serotonin receptor antagonist, is used to treat irritable bowel syndrome (IBS) by decreasing the frequency of defecation. It slows colonic transit time, reducing bowel movements.
Choice C rationale
Alosetron decreases gastric motility rather than increasing it. It works by slowing down the movements of the intestines, which helps to manage diarrhea-predominant IBS.
Choice D rationale
Alosetron's mechanism does not include increasing the absorption of water into the intestine. It primarily affects the neurotransmitters involved in bowel movement regulation.
Correct Answer is A
Explanation
Choice A rationale
Increasing fluid intake helps counteract the anticholinergic effects of amitriptyline, such as dry mouth and constipation, by maintaining adequate hydration and promoting gastrointestinal motility.
Choice B rationale
Amitriptyline commonly causes orthostatic hypotension rather than an elevation in blood pressure, particularly in the initial stages of treatment.
Choice C rationale
Orange urine discoloration is not a typical side effect of amitriptyline and does not necessitate stopping the medication; it is not a common adverse effect.
Choice D rationale
Taking amitriptyline in the morning is not recommended due to its sedative effects, which can cause daytime drowsiness and impair daily activities; it is better taken at bedtime. .
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