Question

a nurse is teaching a client who is starting simvastatin. which of the following information should the nurse include?
a take this medication in the evening.
b change position slowly when rising from a chair.
c maintain a steady intake of green leafy vegetables.
d consume no more than 1 l/day of fluid.

Explanation:

• Option A: Simvastatin is a statin medication. Cholesterol synthesis in the body is highest at night. Taking simvastatin in the evening allows it to act at the time of peak cholesterol synthesis, maximizing its effectiveness.
• Option B: Changing position slowly when rising from a chair is a precaution for medications that cause orthostatic hypotension (e.g., some antihypertensives). Simvastatin does not typically cause orthostatic hypotension.
• Option C: Maintaining a steady intake of green leafy vegetables is relevant for patients on warfarin (as green leafy vegetables are rich in vitamin K which can affect warfarin's anticoagulant effect). It has no relation to simvastatin.
• Option D: Consuming no more than 1 L/day of fluid is a guideline for patients with fluid - restricted conditions (e.g., severe heart failure). It is not related to simvastatin use.

Answer:

A. Take this medication in the evening.