The nurse is caring for the client taking atorvastatin. The nurse should assess for which adverse effects?

Flushing and postural hypotension

Muscle pain and weakness

Fatigue and atrial fibrillation

Constipation and hemorrhoids

Answer and Explanation

The Correct Answer is B

A. Flushing and postural hypotension: Those are classic with niacin (flushing) or some vasodilators (postural hypotension), not statins.
B. Muscle pain and weakness: Myalgias, myopathy and rhabdomyolysis are recognized adverse effects of statins (monitor muscle symptoms and consider CK testing as indicated).
C. Fatigue and atrial fibrillation: Fatigue may occur but atrial fibrillation is not a characteristic statin adverse effect.
D. Constipation and hemorrhoids: These are not typical statin adverse effects.

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Correct Answer is A

Explanation

A. Serum potassium level WNL Digoxin given for rapid apical pulse: The serum K⁺ of 3.9 mEq/L is within normal range and the apical rate of 92 bpm is >60, so per usual digoxin administration guidelines the nurse may give the medication and document that K is WNL and digoxin was administered. (If the rhythm is an unexpected irregularity, the nurse would still note it and monitor/notify per facility policy.)
B. Digoxin withheld to prevent toxicity due to the low potassium level: The potassium value is not low (3.9 mEq/L is within normal limits), so withholding for low K⁺ is not indicated.
C. HCP informed of irregular HR and low serum potassium level: While informing the HCP of an irregular pulse may be appropriate, the serum potassium is not low, so documenting “low potassium” would be inaccurate.
D. Digoxin withheld because the client's apical HR is irregular: Irregular rhythm alone (with rate >60 and no other contraindications) is not an automatic reason to withhold digoxin; the usual criterion is to withhold for low heart rate (commonly <60) or other signs of toxicity.

Correct Answer is ["21"]

Explanation

Total volume = 1000 mL over 8 hr → mL/hr = 1000 ÷ 8 = 125 mL/hr.

Drops/min = (mL/hr × drop factor) ÷ 60 = (125 × 10) ÷ 60 = 1250 ÷ 60 = 20.833…

Rounded to whole number = 21 gtts/min.

Correct answer: 21 gtts/min.

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The nurse is caring for the client taking atorvastatin. The nurse should assess for which adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client who is to receive a scheduled dose of digoxin has an irregular apical pulse at 92 beats per minute and a serum potassium of 3.9 mEq/dL. Which nursing documentation reflects the most appropriate action.

Correct Answer is A

Explanation

The physician has ordered an IV infusion of 1000 mL DSW 45% normal saline (NS) to be administered over 8 hours. Tubing drop factor is 10 gtts/ml. How many gtts/min will the nurse administer? (Round answer to whole number: LABEL CORRECTLY)

Correct Answer is ["21"]

Explanation

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