A nurse is providing teaching to a client about adverse effects of atorvastatin. Which of the following adverse effects should the nurse include in the teaching? (Select all that apply.)

A. Elevated liver enzymes: Atorvastatin can cause hepatotoxicity, which may be indicated by elevated liver enzyme levels. Monitoring liver function tests is essential during therapy, and clients should be taught to report symptoms such as fatigue, abdominal pain, or dark urine. B. Muscle weakness: Myopathy, including muscle pain or weakness, is a known adverse effect of atorvastatin. Severe cases can progress to rhabdomyolysis, so clients should report unexplained muscle discomfort promptly. C. Alopecia: Hair loss is not a recognized adverse effect of atorvastatin. It does not commonly affect hair follicles or lead to alopecia. D. Dry cough: A dry cough is more commonly associated with ACE inhibitors, not atorvastatin. It is not considered an adverse effect of statin therapy. E. Jaundice: Jaundice can occur if atorvastatin causes significant liver injury, leading to elevated bilirubin levels. Clients should be taught to report yellowing of the skin or eyes immediately.