The patient is receiving a statin drug. The nurse notes an increase in creatine kinase (CK) levels. What is the nurse's priority action?
1. Hold the drug and obtain another creatine kinase (CK) level in 6 hours.
2. Administer the drug and continue to assess for muscle pain.
3. Administer the drug and obtain another creatine kinase (CK) level in 6 hours.
4. Hold the drug and notify the physician.
4
Rationale 1: Holding the drug and obtaining another creatine kinase (CK) level leaves out an important step.
Rationale 2: If myopathy is suspected, the drug should not be administered.
Rationale 3: The nurse should not administer the drug.
Rationale 4: Elevated creatine kinase (CK) levels could indicate myopathy; if this is suspected, hold the drug and notify the physician.
Global Rationale: Elevated creatine kinase (CK) levels could indicate myopathy; if this is suspected, hold the drug and notify the physician.
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