The nurse is caring for a client who is taking atorvastatin (Lipitor) to assist in lowering his LDL cholesterol. Which lab value must be routinely done with this medication to prevent complications?
Lung function test
Platelet counts
Liver function test
Hemoglobin levels
The Correct Answer is C
A. Lung function tests are not relevant to atorvastatin therapy; they are more commonly associated with medications affecting the respiratory system.
B. Platelet counts are not routinely monitored for patients on atorvastatin unless there are specific concerns related to bleeding or clotting.
C. Liver function tests are critical for patients on atorvastatin because the medication can cause liver enzyme elevations, indicating potential hepatotoxicity. Routine monitoring ensures early detection of any liver complications.
D. Hemoglobin levels are not specifically related to atorvastatin use and are generally monitored in contexts involving anemia or bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Argatroban is specifically indicated for patients with heparin-induced thrombocytopenia (HIT), as it is a direct thrombin inhibitor that does not cause further platelet depletion.
B. Myocardial infarction is treated with different classes of anticoagulants or antiplatelet medications, not specifically argatroban.
C. Gastrointestinal bleeding would generally be a contraindication to anticoagulation therapy rather than an indication for argatroban use.
D. Hepatotoxicity could be a concern when using argatroban, especially as it is metabolized in the liver, but it does not indicate a need for this medication.
Correct Answer is D
Explanation
A. Bradycardia is not a direct side effect of atorvastatin and may require further context for concern.
B. Elevated HDL cholesterol is a positive outcome of atorvastatin therapy and does not require reporting.
C. A migraine headache is not typically a direct side effect of atorvastatin but could warrant discussion if it affects the client's overall well-being.
D. Dark-red urine may indicate potential muscle breakdown (rhabdomyolysis) associated with atorvastatin and should be reported immediately due to the risk of kidney damage.
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