A patient was started on niacin (vitamin B3) because of a deficiency in her diet. The patient called the clinic with complaints of flushed face, weakness, and tingling skin. This patient is:
1. having a heart attack from taking niacin.
2. having a reaction to taking niacin.
3. needing to increase the dose of niacin.
4. needing to reduce the dose of niacin.
2
Flushing is a frequent side effect of niacin, along with weakness and tingling skin; the drug should not be stopped.
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Prepare 250 mL of a 2% sodium bicarbonate solution. The amount of sodium bicarbonate used will be ______________
a. 50 g b. 2 g c. 5 g d. 2.5 g
A patient is considering using herbal supplements and asks the nurse about them. Which response by the nurse would be most appropriate?
A) "Herbal supplements are safe to use because they are regulated closely." B) "Herbal supplements can affect the way other medications will act." C) "Taking more than the recommended amount usually is not harmful because they are natural." D) "The risk of the supplement interacting with any prescription medications is extremely low."
The family members of a client with a terminal illness tell a nurse that the client keeps asking if she is dying. What is the nurse's best response?
a. "Whenever she asks about dying, change the subject." b. "Tell her the truth in as gentle a way as possible." c. "Tell her that she will get better eventual-ly." d. "Ask her if she is afraid to die."
The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies. Which assessment should the nurse perform?
a. Ask the patient about any clear nasal discharge. b. Obtain the patient's blood pressure and heart rate. c. Check for swelling of the patient's lips and tongue. d. Assess the patient's extremities for wheal and flare lesions.