護理師正在檢視一位被處方阿托伐他汀（atorvastatin）的病人出院指導。病人哪項陳述表示需要進一步指導？（選所有適合的）
A nurse is reviewing discharge instructions for a client prescribed atorvastatin. Which client statement indicates the need for further teaching? (Select all that apply.)
- A"I can stop taking this medication once my cholesterol levels are normal."✓ 正解"一旦我的膽固醇水平正常，我可以停止服用此藥物。"
- B"I should avoid drinking grapefruit juice while taking this medication.""服用此藥物期間，我應該避免喝葡萄柚汁。"
- C"I will report any unexplained muscle pain or weakness to my doctor.""我會向醫師報告任何不明原因的肌肉疼痛或無力。"
- D"I should take this medication in the morning with breakfast."✓ 正解"我應該在早餐時於早晨服用此藥物。"
- E"I need to have my liver function tests monitored regularly.""我需要定期監測肝功能測試。"
阿托伐他汀（Atorvastatin）是 HMG-CoA 還原酶抑制劑，用於降低膽固醇。衛教重點包括：1. 需長期服藥不可自行停藥；2. 避免與葡萄柚汁併服（抑制肝臟代謝增加毒性）；3. 監測橫紋肌溶解徵兆（肌肉疼痛）；4. 監測肝功能；5. 服藥時間無嚴格限制，但通常建議晚上服用以配合膽固醇合成高峰。選項 A 與 D 的觀念錯誤，需進一步指導。
Clients must understand that statin therapy is typically long-term and should not be discontinued once cholesterol levels normalize. Although atorvastatin can be taken at any time, it is often recommended in the evening to align with peak cholesterol synthesis, making the belief that it must be taken with breakfast incorrect. Grapefruit juice interaction and muscle pain monitoring are correct safety measures.