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CLASSROOM RESPONSE QUESTION A patient will be taking niacin as part of antilipem

ID: 125560 • Letter: C

Question

CLASSROOM RESPONSE QUESTION A patient will be taking niacin as part of antilipemic therapy The best way to avoid problems with flushing or pruritus would be to: Atake the medication at bedtime. B.take the medication with a small dose of a steroid. C.take the medication with a full glass of water on an empty stomach. D.start with a low initial dose, and then increase it gradually CLASSROOM RESPONSE QUESTION Before administering niacin, it is most important for the nurse to assess the patient for A. allergy to erythromycin. B. gout. C. coronary artery disease. D. hypothyroidism.

Explanation / Answer

Ans 1 D) Start with a low initial dose and then increase it gradually.

Niacin increases the activity of lipase , so if it is taken in lower amounts , the cutaneous flushing can be minimised. If the drug is taken along with the meals and a prior small dose of aspirin or NSAID is taken before 30 min of niacin administration , its undesirable effects can be prevented.