The nurse is planning education for a client newly prescribed theophylline. What information should the nurse plan to include? Select all that apply.

A. The client reports a recent onset of muscle pain: Muscle pain or weakness (myalgia) is a known adverse effect of atorvastatin and can indicate a serious complication such as rhabdomyolysis. This finding requires immediate assessment and possible adjustment of the medication regimen.

B. The client's high-density lipoprotein (HDL) increased: An increase in HDL is a desired effect of atorvastatin therapy. This finding is beneficial and indicates that the medication is helping improve lipid profile and cardiovascular risk.

C. The client started taking oral contraceptive pills: While statins can slightly increase the hormone levels of birth control pills, this is a known interaction but not an immediate clinical "finding" that would be as concerning as potential muscle breakdown.

D. The client's blood pressure is 116/78 while sitting: This blood pressure reading is within normal limits for an adult. It does not indicate a concerning clinical finding in the context of atorvastatin therapy.

A. Clarify the order with the healthcare provider: The order for digoxin 25 mg IV is dangerously high and far exceeds the usual therapeutic dose (typically micrograms, not milligrams). The nurse must verify the order before administration to prevent life-threatening toxicity.

B. Listen to the apical pulse for one minute: While assessing the apical pulse is essential before administering digoxin to check for bradycardia, verifying the unusually high dose takes priority to ensure client safety.

C. Obtain a current blood pressure reading: Monitoring blood pressure is important because digoxin can affect cardiac output, but confirming the safety of the ordered dose comes before vital sign assessment in this scenario.

D. Ensure the client's IV site is patent: Ensuring IV patency is necessary for safe medication administration, but it is secondary to clarifying an unsafe order to prevent immediate harm to the client.