Difficulty: Medium
Average Score: 80%
Simulated
A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?
Correct answer
A
Rationale
The correct answer is A: Elevated alanine aminotransferase (ALT). Simvastatin, a statin medication used to lower cholesterol, can cause liver enzyme abnormalities, specifically elevated ALT levels, indicating potential liver damage. This adverse effect requires close monitoring as it can lead to liver dysfunction. Elevated troponin T (B) is related to heart muscle damage, not associated with simvastatin. Elevated WBC count (C) signifies an immune response, not a known adverse effect of simvastatin. Elevated TSH (D) indicates hypothyroidism, not directly linked to simvastatin therapy.