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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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Correct Answer is B

Explanation

A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.

B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.

C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.

D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.

Correct Answer is B

Explanation

A. While sildenafil can cause erections, it does not typically lead to unwanted erections; it requires sexual stimulation to be effective.

B. An erection lasting longer than 6 hours, known as priapism, is a serious side effect and requires immediate medical attention, indicating the patient understands this risk.

C. Using nitroglycerin with sildenafil can lead to dangerous drops in blood pressure, and patients should be advised to avoid this combination.

D. Sildenafil should be taken about 30 minutes to 1 hour before sexual activity for best results, not just 5 minutes prior.

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