A client with hypercholesterolemia and atherosclerosis is prescribed nicotinic acid (Niaspan). Which instruction does the nurse provide the client?
a. "This medication may make you flush."
b. "Take this medication on an empty stomach."
c. "You will not need to change your diet with this medication."
d. "Take this medication when you experience chest pain."
A
Nicotinic acid causes increased release of prostaglandins, resulting in vasodilation. Clients may experience flushing and a very warm feeling all over. Taking the drug with meals minimizes this side effect. The medication will not take the place of adjusting the diet and exercising. Nicotinic acid is not used to treat acute chest pain.
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