A patient is taking nicotinic acid (Niacin) to treat hyperlipidemia. The patient reports a flushing sensation along with gastrointestinal irritation. The nurse will perform which action?
a. Contact the provider to discuss possible thromboembolism.
b. Discuss decreasing the patient's dose of nicotinic acid with the provider.
c. Reassure the patient that these effects will decrease over time.
d. Suggest that the patient take niacin with a full glass of cool water.
ANS: B
Large doses of niacin can cause gastrointestinal irritation and vasodilation, resulting in a flushing sensation. Decreasing the dose can alleviate these symptoms. They do not indicate development of thromboembolism. Taking niacin with a full glass of water does not alleviate these symptoms.
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