Family Nurse Practitioner Exam

Which condition requires the immediate cessation of fluvastatin based on lab results?

1. Persistent joint pain

2. Elevated liver enzymes

3. Increased cholesterol levels

4. Low blood pressure

The correct answer is: Elevated liver enzymes

Elevated liver enzymes indicate a potential hepatotoxic effect from fluvastatin, which can pose significant risks to liver function. Statins like fluvastatin are known to impact liver enzymes, and a substantial elevation in these enzymes may suggest liver damage or an increased risk of liver injury. The appropriate clinical response to elevated liver enzymes associated with statin use is to discontinue the medication immediately to prevent further hepatic damage and allow recovery of liver function. This is crucial because continued use of the medication could exacerbate liver dysfunction, leading to serious complications. In contrast, persistent joint pain may be a side effect of fluvastatin but does not typically require immediate cessation of the drug. Increased cholesterol levels, while concerning, would not necessitate stopping the statin but rather might require a reassessment of the treatment plan. Low blood pressure is not directly associated with fluvastatin and would not be an indicator for stopping the medication based solely on lab results.