A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches.
Which of the following adverse effects should the nurse include in the teaching?

Lovastatin is a lipid-lowering medication that belongs to the statin drug class.

It is used to treat and prevent coronary heart disease and hypercholesterolemia.

Before starting therapy with lovastatin, liver function tests should be performed to establish a baseline and monitor for any potential adverse effects on the liver.

Choice A is wrong because Western blot analysis, is not the correct answer because it is a laboratory technique used to detect specific proteins in a sample, not to monitor liver function.

Choice B is wrong because Pancreatic enzymes, is not the correct answer because it refers to enzymes produced by the pancreas that aid in digestion, not liver function.

Choice C is wrong because Exercise electrocardiography, is not the correct answer because it is a diagnostic test used to assess the heart’s response to physical stress, not liver function.

The correct answer is Choice C.

Choice A rationale:

• This response is not appropriate because it is judgmental and may make the client feel defensive.
• It is important for the nurse to respect the client's right to make their own decisions about their health care.
• Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
• It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

• This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
• This approach can be counterproductive and may further alienate the client.
• It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

• This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
• It also demonstrates respect for the client's autonomy and validates their feelings.
• This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

• This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
• It is important for the nurse to provide accurate information to the client.
• Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.