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Rationale: Medication should be taken in the evening. 4. Expect a flushing of the skin as a reaction to the medication. Rationale: Flushing of the skin is an adverse effect of niacin, not simvastatin. 5.Set up a formal meeting with the nurse within 24hrs (answered wrong) A nurse is receiving change of shift report. Which of the following clients should the nurse assess first? A client who had abdominal surgery 6hrs ago and has had a HR of 120 for the last 2 hrs. A nurse is caring for a client who has renal failure.ATI RN Pharmacology 2019 – Proctored Final A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. 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