A patient who has renal impairment will begin taking ranolazine [Ranexa] as an adjunct to nitroglycerine to treat angina. What will the nurse include when teaching this patient?
a. "You will need to monitor your blood pressure closely while taking this drug."
b. "You should take this drug 1 hour before or 2 hours after a meal."
c. "You may experience rapid heart rate while taking this medication."
d. "You do not need to worry about drug interactions with this medication."
A
Ranolazine can elevate blood pressure in patients with renal impairment, so patients taking this drug will need to monitor blood pressure. The drug can be taken without regard to food. It does not cause reflex tachycardia. It has many significant drug interactions.
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