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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 A

Explanation

A. Asthma is a contraindication for cholinergic medications because these drugs can cause bronchoconstriction and may exacerbate respiratory conditions. Careful assessment is necessary before administration to ensure safety.

B. Hypertension is not a direct contraindication for cholinergic medications; they may not significantly affect blood pressure in most cases.

C. Alzheimer's disease is not a contraindication for cholinergic medications; in fact, cholinergic agents may be used to improve cognitive function in some patients with dementia.

D. Diarrhea is not a contraindication for cholinergic medications but may indicate excessive cholinergic activity; it should be monitored, but it does not prevent administration.

Correct Answer is A

Explanation

A. Bisacodyl is a stimulant laxative that can lead to dependency if used daily, as the body may become reliant on the medication for bowel movements. Chronic use can also result in electrolyte imbalances and diminished bowel function.

B. Psyllium is a bulk-forming laxative that works by increasing the bulk of stool and does not typically lead to dependency.

C. Polyethylene glycol is an osmotic laxative that can be used daily without a significant risk of dependency, as it draws water into the bowel to facilitate stool passage.

D. Docusate sodium is a stool softener that aids in preventing constipation but does not carry a risk of dependency when used regularly.

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