A client taking Methyldopa (Aldomet) has elevated liver function tests. What is the nurse's best action?

• A. Document the finding and continue care.
• B. Notify the health care provider.
• C. Immediately stop the medication.
• D. Change the client's diet.

Answer: (B)

Elevated liver function tests while a patient is taking methyldopa signal possible drug-induced hepatotoxicity, so the nurse must escalate the concern to the prescriber for timely assessment. The best action is to involve the health care provider so they can decide whether to discontinue or adjust the medication, order further hepatic workup, and monitor for progression. Stopping the drug should not be done by the nurse without orders, since abrupt changes can affect blood pressure control and the physician needs to weigh risks and benefits. Merely documenting the finding or changing the diet won’t address potential liver injury. Also, be alert for signs of hepatitis such as jaundice, dark urine, and RUQ pain, and report these promptly.