The patient is receiving niacin. Although this drug is effective in lowering lipid levels, the patient complains of uncomfortable flushing. What is the best education by the nurse?
1. "Be sure to take your niacin on an empty stomach as soon as you arise."
2. "Take 1 aspirin 30 minutes before you take your niacin."
3. "Take your niacin tablet with food and at least one full glass of water."
4. "It may be time to ask your doctor about switching to another drug."
2
Rationale 1: Taking niacin on an empty stomach early in the morning will not have any effect on flushing.
Rationale 2: Taking 1 aspirin tablet 30 minutes prior to niacin administration can reduce uncomfortable flushing in many patients because aspirin decreases the prostaglandin release that may cause a flushing effect.
Rationale 3: Taking niacin with food and water will not have any effect on flushing.
Rationale 4: Switching to another drug is premature because the niacin is effective.
Global Rationale: Taking 1 aspirin tablet 30 minutes prior to niacin administration can reduce uncomfortable flushing in many patients because aspirin decreases the prostaglandin release that may cause a flushing effect. Taking niacin with food and water will not have any effect on flushing. Taking niacin on an empty stomach early in the morning will not have any effect on flushing. Switching to another drug is premature because the niacin is effective.
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