A client taking atorvastatin becomes an increased serum creatine phosphokinase (CK) level.
The nurse should assess the client for the onset of which problem?
Nausea and vomiting.
Excessive bruising.
Peripheral edema.
Muscle tenderness.
The Correct Answer is D
Atorvastatin is a medication used to lower cholesterol levels in the blood. One of its side effects is muscle damage, which can result in an increase in serum creatine phosphokinase (CK) levels. Creatine phosphokinase is an enzyme found in muscles, and when muscles are damaged, CK is released into the bloodstream. Therefore, an increased serum CK level indicates muscle damage, and the nurse should assess the client for muscle tenderness or weakness, which are symptoms of this side effect. Nausea and vomiting, excessive bruising, and peripheral edema are not typically associated with atorvastatin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The client is experiencing syncope (fainting) due to a drop in blood pressure to 70/40 mm Hg, which is too low. This suggests that the client's blood pressure medications are reducing their blood pressure too much, resulting in hypotension. The rationale for the nurse's decision to hold the client's scheduled antihypertensive medications is to prevent further hypotension and allow the client's blood pressure to stabilize at a safer level.
Option a is incorrect because diuresis (increased urine output) is not a likely cause of the client's hypotension.
Option b is incorrect because the client's symptoms suggest hypotension due to reduced blood pressure, rather than drug toxicity.
Option c is incorrect because the antagonistic interaction among blood pressure medications would result in reduced effectiveness but would not necessarily cause hypotension.
Correct Answer is D
Explanation
Ferrous sulfate is best absorbed on an empty stomach. The nurse should instruct the client to wait for 2 hours after meals before taking the tablet to promote the best absorption of the medication. The client should also be advised not to crush the enteric-coated tablets as this can affect the medication’s effectiveness.
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