Author Question: A patient with coronary heart disease is prescribed niacin (Nicobid). What should the nurse instruct ... (Read 40 times)

jasdeep_brar · **on:** Jun 25, 2018

A patient with coronary heart disease is prescribed niacin (Nicobid). What should the nurse instruct the patient about this medication?

Select all that apply.

1. Take with meals and a cold beverage.
2. Take with prescribed statin medication.
3. Keep routine appointments for blood work.
4. Report facial flushing to the healthcare provider.
5. Drink 4 ounces of alcohol if facial flushing occurs.

Question 2

A patient with a high risk for coronary heart disease is prescribed a 1750-kcal diet in which 55 of the diet is to be carbohydrates and 20 fat. How many calories should the nurse instruct the patient consume as protein each day?

Record your answer rounding up to the nearest whole number.

T4T · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3
The medication should be taken with meals and accompanied by a cold beverage to minimize GI effects. Because the doses required to achieve significant cholesterol-lowering effects are associated with multiple side effects, nicotinic acid generally is used in combination therapy, particularly with the statin drugs.
Because this medication can have adverse effects routine monitoring of blood glucose, uric acid levels, and liver function tests should be done during treatment. Flushing of face, neck, and ears may occur within 2 hours following dose; these effects generally subside as treatment continues. Alcohol use during nicotinic acid therapy may worsen facial flushing.

Answer to Question 2

Correct Answer: 438 kcal
If the patient is to consume 55 of the diet as carbohydrates and 20 as fat that means the patient is to consume 25 of the total calories as protein. To determine protein calories, the nurse should multiply the total number of calories per day by 25, or 1750 .25 = 437.5 or 438 kcal.