A nurse in an outpatient clinic is caring for a client. Complete the following sentence by using the lists of options. The nurse should assess the client's dropdown followed by the client'sdropdown.
Explanation & Rationale
Renal impairment: Simvastatin can lead to rhabdomyolysis, which releases myoglobin into the bloodstream and can cause acute kidney injury. Assessing for renal impairment allows early detection of potential kidney damage and prevents complications. Rhabdomyolysis: The elevated creatinine kinase (CK) level and new-onset leg pain and weakness indicate possible muscle breakdown. Early assessment for rhabdomyolysis is critical to initiate treatment, prevent further muscle damage, and reduce the risk of renal failure. Abdominal pain: While the client reports mild abdominal discomfort, this symptom is less urgent compared to potential renal impairment or rhabdomyolysis, which are life-threatening complications of statin therapy. Impaired nutrition: Indigestion and bloating may affect appetite but are not immediately dangerous. They are secondary to the more serious concern of muscle breakdown and kidney injury. Constipation: Constipation is a mild gastrointestinal issue and does not indicate acute or severe complications related to simvastatin therapy. Dyspepsia: Dyspepsia is a common side effect of simvastatin but is not life-threatening. It should be addressed after evaluating for more urgent complications like rhabdomyolysis.