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A client arrives at the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

A.

bradycardia

B.

dark-red urine

C.

elevated HDL cholesterol

D.

migraine headache

Answer and Explanation

The Correct Answer is B

A. Bradycardia is not a common side effect of atorvastatin and would not necessarily require immediate reporting unless it is significantly low and symptomatic.  

 

B. Dark-red urine could indicate the presence of myoglobinuria, which can occur due to rhabdomyolysis, a serious side effect of statins like atorvastatin that necessitates immediate medical attention.  

 

C. Elevated HDL cholesterol is generally a positive finding and does not require reporting unless it is part of a larger adverse effect context.  

 

D. A migraine headache, while concerning, is not a known side effect specifically associated with atorvastatin and may not require immediate intervention unless severe or persistent.


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View Related questions

Correct Answer is B

Explanation

A. Folic acid does not specifically lower blood glucose; rather, it is primarily involved in DNA synthesis and cell division.

B. Folic acid is essential during pregnancy as it significantly reduces the risk of neural tube defects, such as spina bifida and anencephaly, in the developing fetus, making it a critical nutrient for pregnant women.

C. Folic acid does not prevent celiac disease; rather, celiac disease is an autoimmune disorder related to gluten intake.

D. While some studies suggest that folic acid may have a role in reducing the frequency of migraines, it is not a primary indication during pregnancy.

Correct Answer is C

Explanation

A. While liver failure may affect excretion indirectly, it primarily impacts metabolism more significantly.

B. Absorption is typically not directly affected by liver function, though it can be influenced by other factors.

C. The liver is crucial for drug metabolism; chronic liver failure impairs the liver's ability to metabolize medications effectively, leading to potential toxicity.

D. Distribution may be altered due to changes in plasma proteins or blood flow, but the most significant impact occurs in metabolism.

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