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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 C

Explanation

A. Grapefruit juice does not have a known interaction with metronidazole and does not need to be avoided.

B. Dairy does not interfere with metronidazole's absorption or effectiveness, so it is not a contraindication.

C. Alcohol should be strictly avoided during and for at least 48 hours after metronidazole treatment, as it can cause a severe reaction, including nausea, vomiting, flushing, and rapid heart rate.

D. Tyramine-based foods do not interact with metronidazole, so they are not a contraindication for this medication.

Correct Answer is A

Explanation

A. Ciprofloxacin is a fluoroquinolone antibiotic that is effective against Bacillus anthracis, the bacterium that causes anthrax. It is often used as a first-line treatment for exposure to anthrax, especially in its inhalational form.

B. While amoxicillin/clavulanate can treat certain infections, it is not the preferred treatment for anthrax. It is less effective against anthrax compared to ciprofloxacin.

C. Nystatin is an antifungal medication used to treat fungal infections and is not indicated for anthrax treatment.

D. Metronidazole is primarily used for anaerobic bacterial and protozoal infections, making it inappropriate for treating anthrax.

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