A prescriber has ordered rosuvastatin (Crestor) for a patient with non–alcoholic-related cirrhosis. Which intervention would be most appropriate for the nurse before administration of this drug?
a. Question the order, because rosuvastatin is contraindicated in patients with liver disease.
b. No intervention is necessary; just administer the drug as ordered.
c. Review the baseline liver function test results.
d. Assess the patient for liver disease.
ANS: C
Before administering rosuvastatin, the nurse should review the results of the baseline liver function tests (LFTs). Statins can be used by patients with liver disease but not by those with alcoholic or viral hepatitis. Administering the drug before obtaining baseline LFT results would not allow for an accurate baseline. The patient clearly already has liver disease.
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