A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?

BUN 15 mg/dl.

LDL 120 mg/dL

Urine specific gravity 1.020

Blood glucose 90 mg/dl

Answer and Explanation

The Correct Answer is B

A. BUN 15 mg/dL:
Incorrect Explanation: Blood urea nitrogen (BUN) is not a specific marker for assessing the effectiveness of atorvastatin treatment.
Explanation: BUN is a measure of kidney function and the breakdown of protein in the body. It is not directly related to the cholesterol-lowering effects of atorvastatin.
B. LDL 120 mg/dL.
Explanation:
Atorvastatin is a medication used to lower cholesterol levels, particularly low-density lipoprotein (LDL) cholesterol, which is often referred to as "bad" cholesterol. Elevated LDL cholesterol levels are a risk factor for cardiovascular disease. The goal of using medications like atorvastatin is to reduce LDL cholesterol levels to a target range, as recommended by healthcare guidelines.
A lower LDL cholesterol level indicates that the treatment with atorvastatin has been effective in achieving the desired therapeutic goal of lowering cholesterol levels and reducing the risk of cardiovascular events. Therefore, a decrease in LDL cholesterol is a positive outcome of atorvastatin therapy.
C. Urine specific gravity 1.020:
Incorrect Explanation: Urine-specific gravity is not a marker for assessing the effectiveness of atorvastatin.
Explanation: Urine-specific gravity measures the concentration of urine and is related to hydration status and kidney function. It is not used to evaluate the effectiveness of cholesterol-lowering medications like atorvastatin.
D. Blood glucose 90 mg/dL:
Incorrect Explanation: A blood glucose level of 90 mg/dL is not indicative of the effectiveness of atorvastatin treatment.
Explanation: Blood glucose level measures the amount of sugar in the bloodstream and is unrelated to the cholesterol-lowering effects of atorvastatin.

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Correct Answer is A

Explanation

A. Bruxism:
Correct Answer: This adverse effect is a priority to report to the provider.
Explanation: Bruxism refers to teeth grinding or clenching, often unconsciously during sleep. It can be a potential side effect of citalopram and other selective serotonin reuptake inhibitors (SSRIs). Bruxism can lead to dental problems, jaw pain, and other discomforts. If this side effect occurs, it should be reported to the provider as it can impact the client's oral health and overall well-being.
B. Confusion:
Incorrect Explanation: While confusion is a concerning adverse effect, it's not typically associated with citalopram use.
Explanation: Confusion is more commonly associated with other medications or medical conditions. If a client experiences confusion, a thorough assessment is warranted, but it may not be directly attributed to citalopram.
C. Weight loss:
Incorrect Explanation: Weight loss can be a side effect of citalopram, but it's not the highest priority in this scenario.
Explanation: Weight loss is a possible side effect of many antidepressants, including citalopram. However, it is generally not as immediately concerning as other adverse effects that can impact a client's health and well-being.
D. Insomnia:
Incorrect Explanation: Insomnia is a common side effect of citalopram and other antidepressants, but it's not the highest priority in this context.
Explanation: Insomnia can be a transient side effect when starting an antidepressant-like citalopram. While it can affect the client's quality of life, it is not as urgent as potential dental issues caused by bruxism.

A. Use a gravity flow set. B. Discard the medication if it is yellow. C. Prime the tubing with 0.9% sodium chloride. D. Administer the medication over 2 hr.

Correct Answer is C

Explanation

A. Use a gravity flow set:
Incorrect Explanation: Using a gravity flow set is not appropriate for administering amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex is typically administered using a dedicated infusion pump to ensure accurate control over the infusion rate and to prevent potential complications.
B. Discard the medication if it is yellow:
Incorrect Explanation: Discarding the medication solely based on its color may not be accurate for the amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex may appear yellowish, and the color itself is not necessarily an indication of its potency or stability. It's important to follow specific guidelines provided by the pharmacy or manufacturer for assessing the integrity of the medication.
C. Prime the tubing with 0.9% sodium chloride:
Correct Answer: Priming the tubing with 0.9% sodium chloride is the appropriate action to ensure the medication is properly administered.
Explanation: Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
D. Administer the medication over 2 hr:
Incorrect Explanation: Administering amphotericin B lipid complex over 2 hours is not the standard infusion time.
Explanation: Amphotericin B lipid complex is typically administered over a longer period, often 2-6 hours. However, the specific infusion rate and duration may vary based on the client's condition and the healthcare provider's orders.

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A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?

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