Correct Answer: B

Rationale: Atorvastatin (Lipitor) is a medication commonly used to treat high cholesterol levels. One of the serious side effects associated with atorvastatin use is muscle pain and weakness. This could be a sign of a rare but serious condition known as rhabdomyolysis, which is the breakdown of muscle tissue that can lead to kidney damage. Therefore, it is crucial for the client to report any muscle pain or weakness promptly to their healthcare provider to prevent any serious complications. Headaches and nausea are common side effects that may not require urgent attention. Bruising and excessive bleeding usually indicate a different issue, such as a bleeding disorder or anticoagulant medication effect. Shortness of breath and coughing are not typically associated with atorvastatin use and may suggest other health problems that require evaluation by a healthcare provider.

Correct Answer: B

Rationale: While it is important for individuals with cardiomyopathy to maintain a well-balanced diet that includes adequate protein, stating that increasing dietary protein specifically helps with cardiac cell repair may not be entirely accurate. The primary focus for individuals with cardiomyopathy should be on overall heart-healthy choices such as monitoring sodium intake, avoiding high-fat, high-cholesterol foods, and following a well-rounded diet plan. Protein can be a part of this plan but it should not be emphasized as the main component for cardiac cell repair. Consulting with a dietitian who can provide personalized guidance and recommendations based on the individual's specific condition is crucial.

Correct Answer: A

Rationale: A. Muscle spasms: Nitroprusside infusion can lead to cyanide toxicity, which can cause muscle spasms as a symptom. It is essential for the nurse to monitor the client for any signs of muscle spasms during the infusion.

Correct Answer: B

Rationale: Atorvastatin (Lipitor) is a medication commonly used to treat high cholesterol levels. One of the serious side effects associated with atorvastatin use is muscle pain and weakness. This could be a sign of a rare but serious condition known as rhabdomyolysis, which is the breakdown of muscle tissue that can lead to kidney damage. Therefore, it is crucial for the client to report any muscle pain or weakness promptly to their healthcare provider to prevent any serious complications. Headaches and nausea are common side effects that may not require urgent attention. Bruising and excessive bleeding usually indicate a different issue, such as a bleeding disorder or anticoagulant medication effect. Shortness of breath and coughing are not typically associated with atorvastatin use and may suggest other health problems that require evaluation by a healthcare provider.

Correct Answer: D

Rationale: Wheezing breath sounds in all lobes indicate airway obstruction or narrowing, which may be a sign of worsening heart failure leading to pulmonary congestion. Wheezing can be a result of fluid accumulation in the lungs (pulmonary edema) due to inadequate pumping of the heart in CHF. Monitoring for respiratory symptoms such as wheezing is crucial in assessing the effectiveness of treatment for congestive heart failure. In this case, the presence of wheezing suggests that the client's condition is not improving and requires further evaluation and intervention.