▸40 Which instructions should the nurse include in the teaching plan for a client who will be taking simvastatin (Zocor) when discharged? Select all that apply.
1 Increase dietary intake of potassium.
2 Avoid prolonged exposure to the sun.
3 Schedule regular ophthalmic examinations.
4 Take the medication at least a half hour before meals.
5 Contact your health care provider if skin becomes gray-bronze.
40 Answer: 2, 3, 5.
1 Simvastatin (Zocor) does not affect levels of potassium. 2 Simvastatin increases photosensitivity; the client should avoid sun exposure and use sunblock. 3 The client should be monitored for the adverse effects of glaucoma and cataracts. 4 The medication is most effective when taken at bedtime because cholesterol synthesis is highest at night. 5 Gray-bronze skin and unexplained muscle pain are signs of rhabdomyolysis. Rhabdomyolysis, a life-threatening response, is the disintegration of muscle associated with myoglobin in the urine.
Client Need: Pharmacological and Parenteral Therapies; Cognitive Level: Analysis; Nursing Process: Planning/Implementation; Reference: Ch 6, Related Pharmacology, Antilipidemics