Question

The client has been prescribed simvastatin (Zocor) for control of his hypercholesterolemia. When taking this medication, the client should be taught to: A. Take the medication with grapefruit juice B. Have his liver enzyme checked every six months C. Take the medication in the morning for optimal absorption D. Report any weakness or drowsiness to the physician

Short answer

Answer: The client should receive teaching on having their liver enzyme levels checked every six months while taking simvastatin to monitor for potential liver damage and maintain safe medication use.

Step-by-step solution

Identify relevant information about simvastatin (Zocor)

To answer this question correctly, you should have the knowledge about simvastatin, its precautions, side effects, and the best practices for taking this medication.

Evaluate choice A (Take the medication with grapefruit juice)

This choice is incorrect because taking simvastatin with grapefruit juice can lead to increased levels of the medication in the blood, which can increase the risk of side effects and potential interactions. Grapefruit juice should be avoided when taking simvastatin.

Evaluate choice B (Have his liver enzyme checked every six months)

This choice is correct because statins, such as simvastatin, can cause liver damage. Therefore, it is important for the client to have his liver enzyme levels checked regularly (typically every six months) while on this medication to monitor for potential liver damage.

Evaluate choice C (Take the medication in the morning for optimal absorption)

This choice is incorrect because it is generally recommended to take simvastatin in the evening for better effectiveness, as the body produces more cholesterol at night.

Evaluate choice D (Report any weakness or drowsiness to the physician)

This choice is partially correct, as the client should report any side effects, including weakness or drowsiness, to their physician. However, the priority should be on monitoring liver enzyme levels as stated in choice B, which is more important to prevent potential liver damage and maintain safe medication use.

Select the correct option

Based on the evaluation of each choice, the correct answer is choice B (Have his liver enzyme checked every six months). This option is the most accurate and important aspect of client teaching to ensure safety and efficacy while taking simvastatin for hypercholesterolemia.