Author Question: What else in R.M.'s history might be contributing to his elevated homocysteine levels? And you ... (Read 33 times)

khang · **on:** Jun 25, 2018

What else in R.M.'s history might be contributing to his elevated homocysteine levels?

And you are teaching R.M. about the side effects of niacin. Which effects will you include in your
teaching? Select all that apply.
a. Flushed skin
b. Headache
c. Gastrointestinal (GI) distress
d. Pruritus
e. Dizziness

Question 2

You review his other medications, including atorvastatin (Lipitor). Which statement by R.M. indicates a need for further teaching about this medication?

a. I will take this drug at night.
b. I will try to exercise more each week.
c. I like to take my medicines with grapefruit juice.
d. I will call the doctor right away if I experience muscle pain.

tandmlomax84 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Smoking is associated with increased levels. Also, patients with a low intake of B vitamins might have
higher levels of homocysteine.

Answers: a, c, d
Niacin might cause flushing of the skin, pruritus, and GI distress.

Answer to Question 2

Answer: c
HMG-CoA reductase inhibitors, or statins, should not be taken with grapefruit juice. Taking this
medication with grapefruit juice might lead to toxic levels of the medication.