A patient has been prescribed pravastatin (Pravachol) to reduce cholesterol level after having a transient ischemic attack (TIA). What possible side effects should the nurse include in teaching the patient about this drug? (Select all that apply.)
a. Muscle aches
b. Confusion
c. Purple toe
d. Diarrhea
e. Irritability
f. Heartburn
ANS: A, D, E, F
Muscle pain or aches can signal a serious side effect (rhabdomyolysis) and should be reported. Diarrhea can cause electrolyte imbalances and should also be reported. Irritability, heartburn, hepatitis, dizziness, and headache may also occur. Purple-toe syndrome can occur with warfarin. Confusion is not a side effect of statins.
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