In addition to niacin, the client is on antihypertensive therapy. ...

[jace]

In addition to niacin, the client is on antihypertensive therapy. When caring for this client, the nurse should:
 
  a. position the client supine for medication administration.
  b. monitor the client for hypotension.
  c. monitor the client's VLVL and chylomicron levels.
  d. administer both medications on an empty stomach.

Question 2

When evaluating a client for an end point for therapy with an HMG-CoA reductase inhibitor, the nurse monitors to detect when:
 
  a. serum cholesterol levels drop below 250.
  b. serum cholesterol levels drop below 200.
  c. transaminase levels rise and remain at 3 times the upper limit of normal.
  d. transaminase levels drop to less than one-half of the normal.

[Dunkey]

Answer to Question 1

ANS: B

Feedback
A Incorrect: This is not necessary for niacin or for most antihypertensive agents.
B Correct: Both medications cause peripheral vasoconstriction, so the client is at increased risk for hypotension.
C Incorrect: The client's triglyceride, LDL, and HDL levels should be monitored.
D Incorrect: Niacin should be taken with or after meals.

Answer to Question 2

ANS: C

Feedback
A Incorrect: This is a pathologic cholesterol level that still requires treatment.
B Incorrect: This cholesterol level is still too high, requiring further treatment.
C Correct: This value is consistent with discontinuing HMG-CoA reductase inhibitor therapy.
D Incorrect: This is not an end point for HMG-CoA reductase inhibitors.

[jace]

Thank you!

[Dunkey]

Always glad to help...