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    Hesi lpn exit proctored exam

    A client who is receiving a statin medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN takes priority?

    Explanation & Rationale

    A. Monitor the client's serum lipid levels: While monitoring lipid levels is part of long-term statin therapy management, it does not address the acute symptoms of muscle soreness and fatigue, which may indicate myopathy or rhabdomyolysis. B. Encourage the client to drink fluids: Adequate hydration is beneficial, especially if muscle breakdown occurs, but it does not address the urgent need to evaluate and manage potential statin-related complications. C. Report the findings to the charge nurse: Muscle soreness, fatigue, and warmth may indicate serious adverse effects such as myopathy or rhabdomyolysis. Immediate reporting allows for prompt evaluation, lab testing (e.g., creatine kinase), and intervention to prevent renal complications. D. Administer a PRN dose of acetaminophen: Giving acetaminophen may relieve discomfort temporarily but does not treat or prevent the potential serious adverse effects of statins. Immediate reporting and assessment are the priority.

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